MEDICARE: SHEILA YVETTE FLEMING CNA

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
1	374U00000X	Home Health Aide	CNA151902	FL
2	376K00000X	Nurse's Aide	CNA151902	FL

General Provider Information

NPI Number	:	1801036033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA YVETTE FLEMING CNA

Provider Business Mailing Address
First Line	:	3596 CYPRESS ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-5956
Country	:	US
Telephone Number	:	904-387-3040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3596 CYPRESS ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-5956
Country	:	US
Telephone Number	:	904-387-3040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2009
Last Update Date	:	02/27/2009

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