SUZZAN BEA FLEMING (NPI# 1598274128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598274128 |
| Entity Type | Individual |
| Full Name | SUZZAN BEA FLEMING |
| Practice Address |
1620 Fm 3344 Jacksboro TX 76458 |
| Mailing Address |
408 Hastings Dr Runaway Bay TX 76426-9709 |
| Practice Telephone | 9405672272 |
| Mailing Telephone | 8174564513 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
577440 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1620 FM 3344 |
| City | JACKSBORO |
| State | TX |
| Zip Code | 76458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777696 | Jack County Hospital District | Family Medicine | 215 Chisholm Trl, Jacksboro, TX 76458 | 2005-08-17 |
| 1437157419 | Syed M Jamal | Internal Medicine | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2005-07-13 |
| 1144629197 | Mackenzie Prince | Registered Nurse | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2014-08-15 |
| 1093997785 | Babu Hosakote Subrahmanyam | Family Medicine | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2007-12-04 |
| 1336237890 | Jack County Hospital District | Ambulance | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2006-10-10 |
| 1104818723 | Faith Community Hospital Home Health | Home Health | 717 Magnolia St, Jacksboro, TX 76458-1111 | 2005-08-19 |
| 1003965260 | Graham Regional Medical Center | General Acute Care Hospital | 611 N 4th St, Jacksboro, TX 76458-1113 | 2007-01-09 |
| 1417081688 | Graham Regional Medical Center | General Acute Care Hospital | 611 N 4th St, Jacksboro, TX 76458-1113 | 2007-03-16 |
| 1376043877 | Ashley Mae Chitwood | Licensed Vocational Nurse | 606 N 6th St, Jacksboro, TX 76458-1117 | 2018-02-20 |
| 1457657371 | Physician Services of Jacksboro Pa | Internal Medicine | 709 N 4th St, Jacksboro, TX 76458-1132 | 2011-02-10 |
| Find all providers in zip 76458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386093060 | Brittany Paige Smith | Nurse Practitioner | 2707 Jacksboro Pike Ste 2, Jacksboro, TN 37757-2752 | 2016-06-03 |
| 1538520812 | Laura Kaleigh Mundy | Nurse Practitioner | 2500 Jacksboro Pike Ste 6, Jacksboro, TN 37757-2818 | 2016-03-14 |
| 1841514957 | Patricia Ann Eberharter | Nurse Practitioner | 2707 Jacksboro Pike Ste 1a, Jacksboro, TN 37757-2752 | 2010-03-18 |
| 1780907238 | Pamela G Davis | Nurse Practitioner | 281 Paradise Ln, Jacksboro, TN 37757-3931 | 2010-03-11 |
| 1447875166 | Jennifer Riley | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2020-06-09 |
| 1225652720 | Katherine Gresham | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2020-06-01 |
| 1700419090 | Amanda Ashley Thomas | Nurse Practitioner | 2500 Jacksboro Pike Ste 6, Jacksboro, TN 37757-2818 | 2020-02-15 |
| 1750922902 | Jennifer Maria Muggridge | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2019-09-30 |
| 1780185686 | Sandra Renee Bond | Nurse Practitioner | 2707 Jacksboro Pike Ste 1a, Jacksboro, TN 37757-2752 | 2018-02-26 |
| 1326590175 | Amy Young | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2016-10-27 |
| Find all providers in JACKSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.