Individual
JOANNA MARIE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10733 165TH ST, ORLAND PARK, IL 60467-8713
(708) 460-4949
(708) 460-8778
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.023248
IL
363LF0000X
Family Nurse Practitioner
53-76866
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F401093466
MEDICARE PTAN
IL
Enumeration date
03/23/2016
Last updated
07/29/2024
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