Physician Assistant
THERESA LANE FISHER P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780898577 · enumerated 2007-05-10 · record updated 2012-04-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4436 NORTH STATE STREET, SUITE AI, JACKSON, MS, 39206-3073 (769) 257-5336 Fax (769) 257-5339 Google Maps Apple Maps OpenStreetMap
- Practice location 4436 NORTH STATE STREET, SUITE AI, JACKSON, MS, 39206-3073 (769) 257-5336 Fax (769) 257-5339 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA011 MS
In this directory
Locations and evidence
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Practice location
JACKSON, MS, 392063073
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.