Individual
GLENN DAVID FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.020041
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193126
—
OH
Enumeration date
10/05/2016
Last updated
02/13/2026
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