| 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 |