Fields, Jacqueline M
Fields, Jacqueline M is an sole proprietor health care provider with primary practice located at 506 N Main St , Nicholasville KY 40356-1134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fields, Jacqueline M can be contacted via phone (833) 510-4357.Contact Information
Primary practice address
506 N Main St
Nicholasville KY 40356-1134
Phone: (833) 510-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003629 | Kentucky |
Profile Details
| NPI number | 1750319117 |
|---|---|
| LBN Legal business name | Fields, Jacqueline M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jun 30th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750319117 | NPPES |
| Kentucky | MEDICAID | 78018165 |
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