Most Relevant Information
Provider Data
| NPI Number: | 1003475674 |
| Provider Name: | JILLIAN NICOLE FIELDS LAT,ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 809-18 |
Most Important Dates
| Enumeration Date: | 06/07/2019 |
| Last Updated: | 06/07/2019 |
Provider Practice Location
1025 N 2ND ST
BISMARCK
ND
585013536
Practice Location Phone/Fax
| Phone: | 6363527983 |
| Fax: |
Provider Mailing Location
1531 SHARLOH LOOP
BISMARCK
ND
585017700
Provider Mailing Phone/Fax
| Phone: | 6363527983 |
| Fax: |