JACLYN A. FISHER (NPI# 1225515448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225515448 |
| Entity Type | Individual |
| Full Name | JACLYN A. FISHER |
| Credential | FNP-C |
| Practice Address |
95 Crystal Run Rd Middletown NY 10941 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F343407 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114391117 | Jaclyn Michele Fisher | Doula | 3067 Lincolnview St, Auburn Hills, MI 48326-3240 | 2015-11-15 |
| 1871124487 | Jaclyn S Fisher | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-02-01 |
| Street Address |
95 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590661 | Karyn F. Robertson | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2005-07-07 |
| 1821600032 | Christina Couto | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-08-19 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1073143145 | Heather Murphy-loucks | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-01-17 |
| 1316581069 | Lakeisha Bristow | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-11-05 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1396212478 | Megan Staudle | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-26 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| 1285168294 | Erick Eichner | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072344 | Shante Brady | Nurse Practitioner | 37 Ruth Ct, Middletown, NY 10940-5329 | 2020-10-30 |
| 1932710126 | Miesha Sarah Stokely | Nurse Practitioner | 10 Atwood Dr, Middletown, NY 10940-2539 | 2020-08-12 |
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1316563869 | Alexa Rae Steenbruggen | Nurse Practitioner | 8 Gossets Turn Dr, Middletown, RI 02842-7900 | 2020-06-21 |
| 1942832472 | Courtney Killin | Nurse Practitioner | 506 Gladys Dr, Middletown, OH 45044-4825 | 2020-02-12 |
| 1174085575 | Adenike Yetunde Awotundun | Nurse Practitioner | 1020 N Union St Apt 204, Middletown, PA 17057-2158 | 2019-04-03 |
| 1447722095 | Cheryl Roman | Nurse Practitioner | 15 Southview W, Middletown, NJ 07748-2416 | 2018-12-20 |
| 1083191076 | Johnita Hendricks | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 | 2018-07-23 |
| 1881146702 | Oluyemisi A Okudele | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709-7956 | 2016-10-26 |
| 1629523816 | Lavinda Mcauliffe | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2016-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
Please comment or provide details below to improve the information on JACLYN A. FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.