Healthcare Provider Details

I. General information

NPI: 1003721259
Provider Name (Legal Business Name): JESSICA LESLIE FLEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 S GARFIELD ST
SPOKANE WA
99203-3239
US

IV. Provider business mailing address

2804 S GARFIELD ST
SPOKANE WA
99203-3239
US

V. Phone/Fax

Practice location:
  • Phone: 702-741-9688
  • Fax:
Mailing address:
  • Phone: 702-741-9688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number606272648-001-0001
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: