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THERESA LANE FISHER P.A.
NPI 1780898577
Physician Assistant in Jackson, MS

Active since May 10, 2007
4436 NORTH STATE STREET, SUITE AI, JACKSON, MS 39206(769) 257-5336(769) 257-5339 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Lane Fisher P.a. NPPES

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

THERESA LANE FISHER P.A. (NPI 1780898577) is an individual physician assistant in Jackson, Mississippi, licensed in Mississippi (PA011) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1780898577
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA LANE FISHERCredential: P.A.
Location Address4436 NORTH STATE STREET, SUITE AIJackson, MS 39206-3073
Mailing Address4436 North State Street, Suite AiJackson, MS 39206-3073 · (769) 257-5336 · Fax (769) 257-5339
Phone(769) 257-5336
Fax(769) 257-5339
Sole ProprietorYes
Enumeration DateMay 10, 2007
Last NPPES UpdateApril 13, 2012
✔ NPI 1780898577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MS · PA011
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4436 NORTH STATE STREET, SUITE AI, Jackson, MS 39206
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Other Identifiers 1

Medicaid00125523MS

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 Theresa Lane Fisher's NPI number?

The NPI number for Theresa Lane Fisher is 1780898577. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Theresa Lane Fisher located?

Theresa Lane Fisher practices at 4436 North State Street, Suite Ai, Jackson, MS 39206. The listed phone number is (769) 257-5336.

What is Theresa Lane Fisher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theresa Lane Fisher was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.