Individual
JACQUELINE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W CRISER RD, SUITE 100, FRONT ROYAL, VA 22630-2360
(540) 636-2931
Mailing address
209 W CRISER RD, SUITE 100, FRONT ROYAL, VA 22630-2360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001064659
VA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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