Provider Demographics
NPI:1043315062
Name:FLEMING, TIMOTHY (FNP)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 MONTCLAIR RD
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2263
Mailing Address - Country:US
Mailing Address - Phone:205-203-8226
Mailing Address - Fax:205-203-8206
Practice Address - Street 1:1337 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2263
Practice Address - Country:US
Practice Address - Phone:205-203-8226
Practice Address - Fax:205-203-8206
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-069618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily