Provider Demographics
NPI:1902363492
Name:FISHER, JENNIFER ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:FISHER
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 COMMERCE PARK
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3511
Mailing Address - Country:US
Mailing Address - Phone:203-301-5860
Mailing Address - Fax:401-239-1793
Practice Address - Street 1:20 COMMERCE PARK
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3511
Practice Address - Country:US
Practice Address - Phone:203-301-5860
Practice Address - Fax:203-301-5861
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2024-02-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant