National Provider Identifier
Jessie M. Fisk, FNP-C
Jessie M. Fisk, FNP-C is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-1691.
Profile Overview
- NPI
- 1629029384
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- May 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2359 N Triphammer RD
- Ithaca, NY 14850-1059
Phone: (607) 257-1691
Mailing Address
- 3749 Preston RD
- Cincinnatus, NY 13040-3100
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1629029384
- Entity Type
- Individual
- Last Name
- Fisk
- First Name
- Jessie
- Middle Name
- M.
- Name Prefix
- MS.
- Credential
- FNP-C
- Mailing Street Address
- 3749 Preston RD
- Mailing City
- Cincinnatus
- Mailing State
- NY
- Mailing ZIP Code
- 13040-3100
- Mailing Country
- US
- Mailing Phone
- (607) 863-4796
- Practice Street Address
- 2359 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1059
- Practice Country
- US
- Practice Phone
- (607) 257-1691
- Practice Fax
- (607) 257-3163
- Enumeration Date
- May 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)