Provider Demographics
NPI:1518005354
Name:FLUHMAN, JESSIE JEAN (FNP)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:JEAN
Last Name:FLUHMAN
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 1:100 N 3RD
Mailing Address - Street 2:PO BOX 177
Mailing Address - City:TEXLINE
Mailing Address - State:TX
Mailing Address - Zip Code:79087-1103
Mailing Address - Country:US
Mailing Address - Phone:806-362-4651
Mailing Address - Fax:806-362-4627
Practice Address - Street 1:100 N 3RD
Practice Address - Street 2:
Practice Address - City:TEXLINE
Practice Address - State:TX
Practice Address - Zip Code:79087-1103
Practice Address - Country:US
Practice Address - Phone:806-362-4651
Practice Address - Fax:806-362-4627
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR19674363LF0000X
TXAP112199363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM64730701Medicaid
NMP86821Medicare UPIN