Provider Demographics
NPI:1255991659
Name:FISHER, JENNIFER HUMMER (DNP, WHNP)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HUMMER
Last Name:FISHER
Suffix:
Gender:F
Credentials:DNP, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3956 ZUNI ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2145
Mailing Address - Country:US
Mailing Address - Phone:303-947-3504
Mailing Address - Fax:
Practice Address - Street 1:DAWN CLINIC
Practice Address - Street 2:1445 DAYTON ST
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010
Practice Address - Country:US
Practice Address - Phone:303-800-9677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990003363LW0102X
CORN.0122254163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory