Anthony Fisher
Registered Nurse in Jacksonville, FL. Individual provider (NPI-1).
NPI number1669939286
StatusActive
Last updated in NPPESMar 1, 2019
Details
- NPI
- 1669939286
- Entity type
- Individual (NPI-1)
- Name
- Anthony Fisher
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2019
- Last updated
- Mar 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9356853 | FL | Yes |
| 101YP1600X | Counselor, Pastoral | – | – |
Practice location
193 Bradford Lake CirJacksonville, FL 32218-0103
Phone 904-697-8553
Mailing address
193 Bradford Lake CirJacksonville, FL 32218-0103
Phone 904-697-8553
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