Provider Demographics
NPI:1083381164
Name:FISCHER, JENNIFER MAY (LM)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MAY
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10108 N SILVER PALM DR
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3476
Mailing Address - Country:US
Mailing Address - Phone:239-223-2023
Mailing Address - Fax:
Practice Address - Street 1:10108 N SILVER PALM DR
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3476
Practice Address - Country:US
Practice Address - Phone:239-223-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW412176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife