Fleming, Matthew Blake

Fleming, Matthew Blake is an individual health care provider with primary practice located at 2416 Highway 43 S Ste B , Picayune MS 39466-7462. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fleming, Matthew Blake can be contacted via phone (769) 242-2525.

Contact Information

Primary practice address
2416 Highway 43 S Ste B Picayune MS 39466-7462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 894301 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 906539 Mississippi

Profile Details

NPI number 1134904675
LBN Legal business name Fleming, Matthew Blake
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2023
Last updated Feb 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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