Fisse, Jordan

Fisse, Jordan is an individual health care provider with primary practice located at 1373 E State Road 62 , Madison IN 47250-7328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fisse, Jordan can be contacted via phone (812) 801-0800.

Contact Information

Primary practice address
1373 E State Road 62 Madison IN 47250-7328
Phone: (812) 801-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28215871A Indiana

Profile Details

NPI number 1295519791
LBN Legal business name Fisse, Jordan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2023
Last updated Aug 24th, 2023 - about 3 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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