Individual
JENELLE SILLS FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09851
NC
363A00000X
Physician Assistant
0110006078
VA
363A00000X
Physician Assistant
C0006949
MD
Other
Enumeration date
02/16/2018
Last updated
06/09/2025
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