Provider Demographics
NPI:1679924963
Name:FLEMING, ADAM (FNP-C)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BELLE CHASSE HWY
Mailing Address - Street 2:OCHSNER WESTBANK - EMERGENCY DEPARTMENT
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056
Mailing Address - Country:US
Mailing Address - Phone:504-391-5454
Mailing Address - Fax:504-595-8225
Practice Address - Street 1:2500 BELLE CHASSE HWY
Practice Address - Street 2:OCHSNER WESTBANK - EMERGENCY DEPARTMENT
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056
Practice Address - Country:US
Practice Address - Phone:504-391-5454
Practice Address - Fax:504-595-8225
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904730363LF0000X
LAAP08815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2425072Medicaid
MS08629250Medicaid
LA2425072Medicaid