| Doctor Name: | STACIE A. FISHER-BILLER |
| NPI Number: | 1629393434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 2010010154 |
| Business Practice Address: | 802 N. Riverside Rd. Ste. G 50 St Joseph, MO - 640572552 |
| Business Phone Number: | 8166714888 |
| Business Fax Number: | 8166714889 |
| Mailing Address: | 802 N. Riverside Rd., Ste. G 50 ST JOSEPH |
| State: | MO |
| Postal Code: | 640572552 |
| Phone Number: | 8166714888 |
| Fax Number: | 8166714889 |
| NPI Enumeration Date: | 04/05/2010 |
| NPI Last Update Date: | 05/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2010010154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |