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Daisy Eileen Fisher, NP

Nurse Practitioner in Jackson, MS. Individual provider (NPI-1).

NPI number1619085412
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1619085412
Entity type
Individual (NPI-1)
Name
Ms. Daisy Eileen Fisher
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR561584MSYes

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Phone 601-362-4471 · Fax 601-364-1357

Mailing address

1221 Deerfield Ln
Jackson, MS 39211-3116

Phone 601-956-9388

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