Individual
MRS. JENNIFER LEA FLEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN52873-CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2602899000
—
WV
01
—
430080183
RR MEDICARE
WV
Enumeration date
10/30/2006
Last updated
08/03/2016
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