Individual
KAMIA ROCHELLE SCROGGINS FASHEUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5236
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1016315
TX
363L00000X
Nurse Practitioner
843209
TX
Other
Enumeration date
09/10/2020
Last updated
06/09/2022
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