Fisher, Jessica Michelle

Fisher, Jessica Michelle is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fisher, Jessica Michelle can be contacted via phone (985) 898-4000.

Contact Information

Primary practice address
1202 S Tyler St Covington LA 70433-2330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 332510 Louisiana

Profile Details

NPI number 1528311487
LBN Legal business name Fisher, Jessica Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Nov 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528311487 NPPES
Louisiana MEDICAID 2596888

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