Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fisher Wadlow, FNP

Individual provider Family Nurse Practitioner · NPI 1588421663

Fisher Wadlow, FNP is a Nurse Practitioner in Farmington, Missouri. Qualified in 2023, 3 years ago. Practices with Parkland Health Center, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

534 Maple Valley Dr
Farmington, MO 63640-1981
Phone: (573) 760-8253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 W Pine St, Farmington, MO 63640-1439 — (573) 747-1510

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024010299 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2024010299 (MO)

Record details

NPI number1588421663
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address555 W Pine St, Farmington, MO 63640-1439

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Parkland Health Center — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Farmington