Provider Demographics
NPI:1427356773
Name:FLEMMING, JENNIFER (MD, FRCPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:FLEMMING
Suffix:
Gender:F
Credentials:MD, FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306-255 BAGOT STREET
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:K7L 3G4
Mailing Address - Country:CA
Mailing Address - Phone:613-767-1488
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVE
Practice Address - Street 2:357 MEDICAL SCIENCES
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0538
Practice Address - Country:US
Practice Address - Phone:415-476-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program