TELICIA FISHER (NPI# 1972087682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972087682 |
| Entity Type | Individual |
| Full Name | TELICIA FISHER |
| Credential | ARNP |
| Practice Address |
11634 Brian Lakes Dr Jacksonville FL 32221-2855 |
| Practice Telephone | 9045344279 |
| Mailing Telephone | 9045344279 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9235501 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11634 BRIAN LAKES DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729546 | Anderson Healthcare Masters LLC | Nurse Practitioner | 2332 Brian Lakes Dr E, Jacksonville, FL 32221-2802 | 2020-08-10 |
| 1336763044 | Maytin Integrated Healthcare, Inc | Nurse Practitioner | 12443 San Jose Blvd Ste 403, Jacksonville, FL 32223-8650 | 2020-05-29 |
| 1821628207 | Latasha Wiley | Nurse Practitioner | 11698 Alexandra Dr, Jacksonville, FL 32218-8874 | 2020-01-24 |
| 1396204871 | Tanza L Walker | Nurse Practitioner | 6135 Ricker Rd, Jacksonville, FL 32244-2605 | 2019-03-14 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1629555834 | Jose R Garcia | Nurse Practitioner | 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 | 2018-07-20 |
| 1730694290 | David Jonathan Tonto | Nurse Practitioner | 11250 Baptist Health Dr, Jacksonville, FL 32218-2978 | 2017-12-06 |
| 1316293384 | Marta Kay Spaulding Wells | Nurse Practitioner | 13720 Weeping Willow Way, Jacksonville, FL 32224-6899 | 2012-07-27 |
| 1316057029 | Kristine H Thompson | Nurse Practitioner | 2563 Oak St, Jacksonville, FL 32204-4559 | 2006-08-30 |
| 1285242743 | Antonette Francisco Arevalo | Nurse Practitioner | 9860 Beach Blvd, Jacksonville, FL 32246-4704 | 2020-07-21 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
Please comment or provide details below to improve the information on TELICIA FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.