SUZZAN BEA FLEMING
NPI 1598274128
Nurse Practitioner - Family in Jacksboro, TX
Active since September 27, 2017
About Suzzan Bea Fleming NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUZZAN BEA FLEMING (NPI 1598274128) is an individual family provider in Jacksboro, Texas, licensed in Texas (577440) and active in the NPI registry since September 2017.
NPPES Registry Identity
NPI1598274128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZZAN BEA FLEMING
Location Address1620 FM 3344Jacksboro, TX 76458
Mailing Address408 Hastings DrRunaway Bay, TX 76426-9709 · (817) 456-4513
Phone(940) 567-2272
Sole ProprietorYes
Enumeration DateSeptember 27, 2017
✔ NPI 1598274128 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 577440
1620 FM 3344, Jacksboro, TX 76458
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598274128, enumerated as an "individual" on September 27, 2017.
The provider is located at 1620 FM 3344 JACKSBORO, TX 76458 and the phone number is (940) 567-2272.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.