Provider Demographics
NPI:1871998518
Name:FLEMING, NICHOLE LAUREN (PA)
Entity type:Individual
Prefix:MRS
First Name:NICHOLE
Middle Name:LAUREN
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 10597
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78766-1597
Mailing Address - Country:US
Mailing Address - Phone:512-485-5889
Mailing Address - Fax:512-420-0397
Practice Address - Street 1:1015 E 32ND ST STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2701
Practice Address - Country:US
Practice Address - Phone:512-469-9966
Practice Address - Fax:512-469-9482
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2023-08-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant