Provider Demographics
NPI:1043837636
Name:FIELDS-JONES, KORA M (APRN)
Entity Type:Individual
Prefix:
First Name:KORA
Middle Name:M
Last Name:FIELDS-JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 TECUMSEH DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5566
Mailing Address - Country:US
Mailing Address - Phone:773-297-9050
Mailing Address - Fax:
Practice Address - Street 1:131 TECUMSEH DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5566
Practice Address - Country:US
Practice Address - Phone:773-297-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program