Individual
MRS. JENNIFER M FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711
Mailing address
1600 MEDICAL CENTER DR, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82905
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010243
—
WV
01
—
WV1776A
MEDICARE PTAN
WV
Enumeration date
08/27/2007
Last updated
11/22/2021
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