Most Relevant Information
Provider Data
| NPI Number: | 1003691551 |
| Provider Name: | JONATHAN FIELDER PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024187768 |
Most Important Dates
| Enumeration Date: | 08/31/2023 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
2808 FOX CHASE LN
MIDLOTHIAN
VA
231124008
Practice Location Phone/Fax
| Phone: | 8043039622 |
| Fax: | 8047164318 |
Provider Mailing Location
2808 FOX CHASE LN
MIDLOTHIAN
VA
231124008
Provider Mailing Phone/Fax
| Phone: | 8043039622 |
| Fax: | 8047164318 |