person
Mr. Willard Jason Fiessinger, APRN
Family Nurse Practitioner in Benton, Kentucky
NPI 1619010444

Willard Jason Fiessinger is a Family Nurse Practitioner based in Benton, KY and is specialized in Family. Willard Jason Fiessinger practices in Benton, KY and has the professional credentials of APRN. The NPI Number for Willard Jason Fiessinger is 1619010444 and holds a License No. 3005118 (Kentucky).

The current practice location address for Willard Jason Fiessinger is 83 Wellness Way Ste 101&201, Benton, KY and can be reached out via phone at 270-527-0045 and via fax at 270-527-0075.

Location: 83 Wellness Way Ste 101&201, Benton, KY, 42025-7156
person
Provider Profile Details
NPI Number
1619010444
Provider Name
Willard Jason Fiessinger
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
83 Wellness Way Ste 101&201, Benton, KY, 42025-7156
Phone Number
270-527-0045
Fax Number
270-527-0075
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000602049 01 KY BCBS
7100052530 05 KY
institution
Provider Business Practice Location Address Details
Address
83 Wellness Way Ste 101&201
City
State
Zip
42025-7156
Phone Number
270-527-0045
Fax Number
270-527-0075
person
Provider Business Mailing Address Details
Address
83 Wellness Way Ste 101&201
City
State
Zip
42025-7156
Phone Number
270-527-0045
Fax Number
270-527-0075
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3005118 (Kentucky)
Definition
Definition to come...
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