Individual
MRS. TOMMIE LEE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
73 THOMPSON POYNTER RD STE A, LONDON, KY 40741-7202
(606) 877-1446
(606) 877-1285
Mailing address
73 THOMPSON POYNTER RD STE A, LONDON, KY 40741-7202
(606) 877-1446
(606) 877-1285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009981
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009981
MEDICAID
KY
Enumeration date
12/29/2015
Last updated
02/09/2021
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