Provider Demographics
NPI:1104161660
Name:ESH, ALESA FISHER (RD,, LDN)
Entity type:Individual
Prefix:MS
First Name:ALESA
Middle Name:FISHER
Last Name:ESH
Suffix:
Gender:F
Credentials:RD,, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:114 N DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556-3100
Mailing Address - Country:US
Mailing Address - Phone:931-879-9011
Mailing Address - Fax:931-879-6297
Practice Address - Street 1:114 N DUNCAN ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556-3100
Practice Address - Country:US
Practice Address - Phone:931-879-9011
Practice Address - Fax:931-879-6297
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000671133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered