Provider Demographics
NPI:1154200095
Name:FISHER, JAMIE ROSANNA (MSW, PLMHP, PCMSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ROSANNA
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSW, PLMHP, PCMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NE
Mailing Address - Zip Code:69167-0023
Mailing Address - Country:US
Mailing Address - Phone:402-419-3100
Mailing Address - Fax:
Practice Address - Street 1:410 E B ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4049
Practice Address - Country:US
Practice Address - Phone:308-534-3351
Practice Address - Fax:308-696-2200
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3633104100000X
NE82311041C0700X
NE14486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical