Individual
JACLYN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
1278 W 9TH ST, APARTMENT 1239, CLEVELAND, OH 44113-1028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019880
OH
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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