Provider Demographics
NPI:1114281904
Name:FIELDS, NEKIA CHEREE (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:NEKIA
Middle Name:CHEREE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 WORTHINGTON WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4814
Mailing Address - Country:US
Mailing Address - Phone:614-648-2161
Mailing Address - Fax:
Practice Address - Street 1:924 WORTHINGTON WOODS BLVD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4814
Practice Address - Country:US
Practice Address - Phone:614-648-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor