Individual
JESSICA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4560 S GRAHAM RD, SAINT CHARLES, MI 48655-9553
(989) 737-9975
Mailing address
4560 S GRAHAM RD, SAINT CHARLES, MI 48655-9553
(989) 737-9975
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704285407
MI
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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