Provider Demographics
NPI:1801342712
Name:FLEMING, JESSICA BOWEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BOWEN
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4191 THE CIRCLE AT NORTH HILLS ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5712
Mailing Address - Country:US
Mailing Address - Phone:919-786-2534
Mailing Address - Fax:
Practice Address - Street 1:4191 THE CIRCLE AT NORTH HILLS ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5712
Practice Address - Country:US
Practice Address - Phone:919-786-2534
Practice Address - Fax:919-714-8379
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26231OtherNCBOP