Fields, Jennifer Latasha

Fields, Jennifer Latasha is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fields, Jennifer Latasha can be contacted via phone (240) 686-3300.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (240) 686-3300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024175674 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1003310798 Virginia

Profile Details

NPI number 1447765573
LBN Legal business name Fields, Jennifer Latasha
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2017
Last updated Sep 6th, 2023 - about last year

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.

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