Individual
MS. JENNIFER LAUREN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 BLENDON WAY DR, GAHANNA, OH 43230-7825
(614) 314-1547
Mailing address
4118 BLENDON WAY DR, GAHANNA, OH 43230-7825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2416193
—
OH
Enumeration date
05/04/2007
Last updated
07/09/2007
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