Provider Demographics
NPI:1780909416
Name:FIELD, JEAN G (RN)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:G
Last Name:FIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COMMUNITY SERVICES, 4 JEFFERSON PLAZA,
Mailing Address - Street 2:SUITE 4
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-483-3577
Mailing Address - Fax:845-483-3597
Practice Address - Street 1:4 JEFFERSON PLZ
Practice Address - Street 2:SUITE 4
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4035
Practice Address - Country:US
Practice Address - Phone:845-483-3577
Practice Address - Fax:845-483-3597
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY400750-1163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health