| Theresa Lane Fisher, PA | |
|
4436 North State Street, Suite Ai, Jackson, MS 39206-3073 | |
| (769) 257-5336 | |
| (769) 257-5339 |
| Full Name | Theresa Lane Fisher |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4436 North State Street, Suite Ai, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780898577 | NPI | - | NPPES |
| 00125523 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA011 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Lane Fisher, PA 4436 North State Street, Suite Ai, Jackson, MS 39206-3073 Ph: (769) 257-5336 | Theresa Lane Fisher, PA 4436 North State Street, Suite Ai, Jackson, MS 39206-3073 Ph: (769) 257-5336 |
Amber Goodman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 970 Lakeland Dr Ste 61, Jackson, MS 39216 Phone: 601-982-7850 Fax: 601-366-8507 | |
David Andrew Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Rowdy Chance Lee, MD Physician Assistant Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5153 | |
Kelsey A North, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216 Phone: 513-708-4211 | |
Mary Allison Durr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1835 | |
Sarah Joanna Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7275 S Siwell Rd, Jackson, MS 39272 Phone: 601-373-7722 Fax: 601-373-7128 | |
Mrs. Victoria Nicole Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 656, Jackson, MS 39216 Phone: 601-366-6606 |