Healthcare Provider Details

I. General information

NPI: 1871353441
Provider Name (Legal Business Name): DEBBIE FLEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 14TH AVE N
NASHVILLE TN
37208-1164
US

IV. Provider business mailing address

PO BOX 280247
NASHVILLE TN
37228-0247
US

V. Phone/Fax

Practice location:
  • Phone: 615-679-8408
  • Fax:
Mailing address:
  • Phone: 615-928-0958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number243727
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: