Individual
JODI FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7700 HIGHWAY 69 S STE C, TUSCALOOSA, AL 35405-8784
(205) 349-1040
Mailing address
12464 TIMBERLANE RD, RALPH, AL 35480-9103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122878
AL
Other
Enumeration date
12/16/2014
Last updated
01/30/2019
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