NPI | 1851554406 |
---|---|
Former Name | JERROL J FLEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010705) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5674P) |
363LF0000X Nurse Practitioner, Family (Licence: OH 38457) | |
363LF0000X Nurse Practitioner, Family (Licence: WV 62371) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2022-10-04 |