Individual provider · Type 1 NPI

Jessie M. Fisk, FNP-C

Family Nurse Practitioner · Ithaca, NY

NPI number 1629029384 Active

Practice location

2359 N Triphammer Rd
Ithaca, NY 14850-1059

Fax (607) 257-3163

Mailing address

3749 Preston Rd
Cincinnatus, NY 13040-3100

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF331505 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1629029384

Jessie M. Fisk, FNP-C's National Provider Identifier is 1629029384, issued on May 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 13, 2026.