| Doctor Name: | JENNIFER L FIELDS |
| NPI Number: | 1023304615 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 336770 |
| Business Practice Address: | 111 E Chestnut St Rome, NY - 134402886 |
| Business Phone Number: | 3153378584 |
| Business Fax Number: | 3153378641 |
| Mailing Address: | 1040 State St, SCHENECTADY |
| State: | NY |
| Postal Code: | 123071508 |
| Phone Number: | 5183745353 |
| Fax Number: | 5183471413 |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 12/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 336770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |