Provider Demographics
NPI:1417542317
Name:FIELDS, LASHAUNDRIA LYNETTE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LASHAUNDRIA
Middle Name:LYNETTE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:TN
Mailing Address - Zip Code:38014-0181
Mailing Address - Country:US
Mailing Address - Phone:901-415-4319
Mailing Address - Fax:
Practice Address - Street 1:9025 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-7981
Practice Address - Country:US
Practice Address - Phone:901-387-2998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily