Jennifer L Fisher, PAC
Physician Assistant in Fargo, ND. Individual provider (NPI-1).
NPI number1881980415
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1881980415
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Fisher
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2011
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0460 | ND | Yes |
| 363AM0700X | Physician Assistant, Medical | 10916 | MN | |
| 363AM0700X | Physician Assistant, Medical | PAC0460 | ND |
Practice location
2400 32nd Ave SFargo, ND 58103-5800
Phone 701-234-8800
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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