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NPI Code Detail

MEDICARE: JONNI KATHLEEN FIELD PA

MEDICARE: JONNI KATHLEEN FIELD PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144811001
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONNI KATHLEEN FIELD PA
Provider Business Mailing Address
First Line : 3507 HANOVER AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2207
Country : US
Telephone Number : 804-305-3417
Fax Number :
Provider Business Practice Location Address
First Line : 3507 HANOVER AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2207
Country : US
Telephone Number : 804-305-3417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2021
Last Update Date : 05/31/2023

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Directions to “ JONNI KATHLEEN FIELD PA” Practice Location

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