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NPI Code Detail

MEDICARE: STEPHANIE JO FLEMING RN

MEDICARE: STEPHANIE JO FLEMING RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse812612NV

General Provider Information

NPI Number : 1720663560
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JO FLEMING RN
Provider Business Mailing Address
First Line : 10925 SOUTHERN HIGHLANDS PKWY APT 1062
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-4305
Country : US
Telephone Number : 915-727-1603
Fax Number :
Provider Business Practice Location Address
First Line : 250 PILOT RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3514
Country : US
Telephone Number : 702-982-3292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 07/19/2024

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Directions to “ STEPHANIE JO FLEMING RN” Practice Location

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