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WANDA FISHER
NPI 1700280369
Nurse Practitioner - Family in Madison, MS

Active since October 10, 2014
485 MOCKINGBIRD LN, MADISON, MS 39110(601) 906-1678 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wanda Fisher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA FISHER (NPI 1700280369) is an individual family provider in Madison, Mississippi, licensed in Mississippi (R672181) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1700280369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWANDA FISHER
Location Address485 MOCKINGBIRD LNMadison, MS 39110-9577
Mailing Address485 Mockingbird LnMadison, MS 39110-9577 · (601) 906-1678
Phone(601) 906-1678
Sole ProprietorYes
Enumeration DateOctober 10, 2014
✔ NPI 1700280369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R672181
485 MOCKINGBIRD LN, Madison, MS 39110
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Fisher's NPI number?

The NPI number for Wanda Fisher is 1700280369. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Wanda Fisher located?

Wanda Fisher practices at 485 Mockingbird Ln, Madison, MS 39110. The listed phone number is (601) 906-1678.

What is Wanda Fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wanda Fisher was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.