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NPI Code Detail

MEDICARE: JANA FIELDER

MEDICARE: JANA FIELDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3337OK

General Provider Information

NPI Number : 1134530165
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA FIELDER
Provider Business Mailing Address
First Line : 9225 LAKE HEFNER PKWY
Second Line : SUITE 101
City : OKLAHOMA CITY
State : OK
Zip : 73120-2061
Country : US
Telephone Number : 405-630-8078
Fax Number : 405-720-7327
Provider Business Practice Location Address
First Line : 9225 LAKE HEFNER PKWY
Second Line : SUITE 101
City : OKLAHOMA CITY
State : OK
Zip : 73120-2061
Country : US
Telephone Number : 405-630-8078
Fax Number : 405-720-7327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2014
Last Update Date : 05/13/2014

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Directions to “ JANA FIELDER ” Practice Location

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