Provider Demographics
NPI:1215395769
Name:FIELDS, JOLANDRIA (NP-C)
Entity Type:Individual
Prefix:
First Name:JOLANDRIA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21023 ROXETTE CT
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5615
Mailing Address - Country:US
Mailing Address - Phone:713-927-1580
Mailing Address - Fax:
Practice Address - Street 1:21023 ROXETTE CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5615
Practice Address - Country:US
Practice Address - Phone:713-927-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily