Individual provider · Type 1 NPI

Jason Kyle Fisher

Home Health Aide · Wallace, NE

NPI number 1104797679 Active

Practice location

104 S Schiller Ave
Wallace, NE 69169

Mailing address

1101 Halligan Dr
North Platte, NE 69101-7659

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XH14172980 (NE)

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

About NPI 1104797679

Jason Kyle Fisher's National Provider Identifier is 1104797679, issued on Sep 16, 2025. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Wallace, NE. The record was last updated on Sep 16, 2025.