Individual
JENNIFER I FLUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
158406
MT
363AS0400X
Surgical Physician Assistant
PA06970
TX
363AS0400X
Surgical Physician Assistant
Primary
PA169660
OR
Other
Enumeration date
04/04/2011
Last updated
04/21/2025
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