Individual
DR. JACK HAROLD FIELDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
115 LAURIE CIR, JACKSON, TN 38305-3046
(731) 414-1413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124343
TN
Other
Enumeration date
08/22/2019
Last updated
08/26/2019
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