| NPI | 1689656639 |
|---|---|
| Former Name | JESSICA L FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2151-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 2151) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-10-04 |