Doctor Name: | TRACY LYNN FISHER |
NPI Number: | 1023270790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, NP-C |
License Number: | A03126 |
Business Practice Address: | 4900 Kelley Hwy Fort Smith, AR - 729045000 |
Business Phone Number: | 4797855700 |
Business Fax Number: | 4797855708 |
Mailing Address: | Po Box 130, RATCLIFF |
State: | AR |
Postal Code: | 729510130 |
Phone Number: | 4796350091 |
Fax Number: | 4796352010 |
NPI Enumeration Date: | 06/25/2008 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |