Most Relevant Information
Provider Data
| NPI Number: | 1003421744 |
| Provider Name: | KAMIA ROCHELLE SCROGGINS FASHEUN FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 843209 |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
2401 S 31ST ST
TEMPLE
TX
765085236
Practice Location Phone/Fax
| Phone: | 2547242111 |
| Fax: |
Provider Mailing Location
PO BOX 844658
DALLAS
TX
752844658
Provider Mailing Phone/Fax
| Phone: | 2547242111 |
| Fax: |