Wanda Fisher
NPI #1700280369 in Madison, Mississippi
Provider Information
- NPI Number
- 1700280369
- Entity Type
- Individual
- Name
- Wanda Fisher
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 10, 2014
- Last Updated
- Oct 10, 2014
Practice Location
- Address
- 485 MOCKINGBIRD LN
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-9577
- Phone
- (601) 906-1678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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