Doctor Name: | JENNIFER FLEMING |
NPI Number: | 1417322496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0000437 |
Business Practice Address: | 5955 Zeamer Ave Jber, AK - 995063702 |
Business Phone Number: | 9075805896 |
Business Fax Number: | |
Mailing Address: | 5955 Zeamer Ave, JBER |
State: | AK |
Postal Code: | 995063702 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/02/2015 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0000437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |