Provider Demographics
NPI:1053118240
Name:FISHER, DEBBIE HINSON (ARNP-FNP-C)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:HINSON
Last Name:FISHER
Suffix:
Gender:
Credentials:ARNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4601
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32721-4601
Mailing Address - Country:US
Mailing Address - Phone:386-561-0383
Mailing Address - Fax:
Practice Address - Street 1:720 2ND AVE
Practice Address - Street 2:720 2ND AVE
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724
Practice Address - Country:US
Practice Address - Phone:386-561-0383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty