Provider Demographics
NPI:1518513258
Name:FLEXER, CAROLINE DEJARNETT (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:DEJARNETT
Last Name:FLEXER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 ROSE COTTAGE RD
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-2253
Mailing Address - Country:US
Mailing Address - Phone:706-474-3647
Mailing Address - Fax:
Practice Address - Street 1:1111 GLYNCO PKWY STE 10
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-7930
Practice Address - Country:US
Practice Address - Phone:912-264-9111
Practice Address - Fax:912-262-6909
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-16
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2018089940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily