Provider Demographics
NPI:1508478710
Name:FLESHMAN, DEBRA (FNP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:FLESHMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3825
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:866-903-6621
Practice Address - Street 1:919 S CRAIG AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1954
Practice Address - Country:US
Practice Address - Phone:540-960-2231
Practice Address - Fax:540-960-2245
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily