MATTHEW BLAKE FLEMING FNP NPI 1134904675

NPI Information

  • NPI: 1134904675
  • Provider Name: MATTHEW BLAKE FLEMING, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2416 HIGHWAY 43 S STE B
    PICAYUNE, MS
    ZIP 39466
  • Phone: (769) 242-2525

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NPI Details

Matthew Blake Fleming, FNP is a family nurse practitioner in Picayune, MS with 3 years of experience. Matthew Blake Fleming, FNP NPI is 1134904675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2416 HIGHWAY 43 S STE B
PICAYUNE, MS
ZIP 39466-462
Phone: (769) 242-2525

The NPI 1134904675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 2/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine894301MISSISSIPPINo
2363LF0000XNurse PractitionerFamily906539MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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