Provider Demographics
NPI:1437988649
Name:FIELDS, MELODY JO (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:JO
Last Name:FIELDS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:207 S MAIN ST
Mailing Address - Street 2:P.O. BOX 488
Mailing Address - City:TROY
Mailing Address - State:KS
Mailing Address - Zip Code:66087-0488
Mailing Address - Country:US
Mailing Address - Phone:785-985-2211
Mailing Address - Fax:785-985-2444
Practice Address - Street 1:207 S MAIN ST
Practice Address - Street 2:P.O. BOX 488
Practice Address - City:TROY
Practice Address - State:KS
Practice Address - Zip Code:66087-0488
Practice Address - Country:US
Practice Address - Phone:785-985-2211
Practice Address - Fax:785-985-2444
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2024024234363LF0000X
KS82855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily