NPI 1962747246 · live from the CMS NPI Registry
Jacqueline Joy Fleming, ARNP, DNP
Nurse Practitioner, Pediatrics in Davenport, IA. National Provider Identifier 1962747246, active.
NPI record
| NPI | 1962747246 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 |
| Practice phone | 563-424-2025 |
| Mailing address | 15723 Woodmoor Dr, Dubuque, IA 52002 |
| Enumerated | November 28, 2012 |
| Last updated | May 2, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health | 163WH0200X | 128838 (IA) |
| Registered Nurse, Pediatrics | 163WP0200X | 128838 (IA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C128838 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.