Provider Demographics
NPI:1801036033
Name:FLEMING, SHEILA YVETTE (CNA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:YVETTE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3596 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-5956
Mailing Address - Country:US
Mailing Address - Phone:904-387-3040
Mailing Address - Fax:
Practice Address - Street 1:3596 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-5956
Practice Address - Country:US
Practice Address - Phone:904-387-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA151902374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide