Provider Demographics
NPI:1992106975
Name:FISHER, CIERRA N (FNP-C)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:N
Last Name:FISHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-584-6600
Mailing Address - Fax:765-584-6503
Practice Address - Street 1:386 SYMMES CENTER DR STE 1
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:IN
Practice Address - Zip Code:47394-9402
Practice Address - Country:US
Practice Address - Phone:765-584-6600
Practice Address - Fax:765-584-6503
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71005081A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201249720Medicaid
IN259370044Medicare PIN