Provider Demographics
NPI:1699719278
Name:FISHER, JESSICA S (PHARMD,CGP,CDM,FAS)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:S
Last Name:FISHER
Suffix:
Gender:F
Credentials:PHARMD,CGP,CDM,FAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 8TH DR NE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:330-365-2404
Practice Address - Street 1:207 E 3RD ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-1893
Practice Address - Country:US
Practice Address - Phone:180-034-3319
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy