| Doctor Name: | JESS F FISHER |
| NPI Number: | 1134454762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | MA054140 |
| Business Practice Address: | 1139 Ben Franklin Hwy W Douglassville, PA - 195181850 |
| Business Phone Number: | 6103854444 |
| Business Fax Number: | |
| Mailing Address: | 34 S 16th St, Apt 1 ALLENTOWN |
| State: | PA |
| Postal Code: | 181024412 |
| Phone Number: | 9137107016 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2009 |
| NPI Last Update Date: | 10/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA054140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |