Provider Demographics
NPI:1154901312
Name:FLUHRER, JESSICA LEEANN
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:LEEANN
Last Name:FLUHRER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10080 33RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:DUNSEITH
Mailing Address - State:ND
Mailing Address - Zip Code:58329-9498
Mailing Address - Country:US
Mailing Address - Phone:701-244-5179
Mailing Address - Fax:
Practice Address - Street 1:10080 33RD AVE NE
Practice Address - Street 2:
Practice Address - City:DUNSEITH
Practice Address - State:ND
Practice Address - Zip Code:58329-9498
Practice Address - Country:US
Practice Address - Phone:701-244-5179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant