Individual
JACQUELINE M FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
506 N MAIN ST, NICHOLASVILLE, KY 40356-1134
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78018165
—
KY
Enumeration date
06/28/2006
Last updated
06/30/2022
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