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

Individual provider Physician Assistant · NPI 1780898577

Theresa Lane Fisher, PA is a Physician Assistant in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4436 N State St Ste AI
Jackson, MS 39206-3073
Phone: (769) 257-5336
Fax: (769) 257-5339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA011 (MS)

Record details

NPI number1780898577
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 10, 2007
Last updated in NPPESApril 13, 2012

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