Provider Demographics
NPI:1811125933
Name:FIELDS, JESSICA NICOLE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:NICOLE
Last Name:FIELDS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:633 GERMANTOWN PIKE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444
Mailing Address - Country:US
Mailing Address - Phone:484-576-3705
Mailing Address - Fax:484-727-9983
Practice Address - Street 1:633 GERMANTOWN PIKE
Practice Address - Street 2:FLOOR 2
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444
Practice Address - Country:US
Practice Address - Phone:484-576-3705
Practice Address - Fax:484-727-9983
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2023-02-13
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Provider Licenses
StateLicense IDTaxonomies
MA24-0902207R00000X
PAMD445653207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine