Fields, Wendy

Fields, Wendy is an individual health care provider with primary practice located at 2408 Susannah St Ste. 1, Johnson City TN 37601-1728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fields, Wendy can be contacted via phone (423) 282-5054.

Contact Information

Primary practice address
2408 Susannah St Ste. 1 Johnson City TN 37601-1728
Phone: (423) 282-5054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN06844 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174224 Virginia

Profile Details

NPI number 1700978848
LBN Legal business name Fields, Wendy
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700978848 NPPES
Tennessee MEDICAID 3929153
Tennessee Other TN0107
Tennessee Other 4088547
Tennessee MEDICAID 3373123

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