Individual
JONATHAN FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2808 FOX CHASE LN, MIDLOTHIAN, VA 23112-4008
(804) 303-9622
(804) 716-4318
Mailing address
2808 FOX CHASE LN, MIDLOTHIAN, VA 23112-4008
(804) 303-9622
(804) 716-4318
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187768
VA
Other
Enumeration date
08/31/2023
Last updated
11/07/2024
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