Provider Demographics
NPI:1881165181
Name:FLEISCHER, JAMIE C (CRNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:C
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 ROCKHILL DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1627
Mailing Address - Country:US
Mailing Address - Phone:267-678-0184
Mailing Address - Fax:844-820-9641
Practice Address - Street 1:710 ROCKHILL DR
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1627
Practice Address - Country:US
Practice Address - Phone:267-678-0184
Practice Address - Fax:844-820-9641
Is Sole Proprietor?:No
Enumeration Date:2018-12-12
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily