Individual provider · Type 1 NPI

January K. Fields

Primary Care Nurse Practitioner · Philadelphia, PA

NPI number 1124698840 Active

Practice location

1412 Fairmount Ave
Philadelphia, PA 19130-2908

Call (215) 235-9600 Map

Fax (215) 684-5360

Mailing address

316 Fillmore St
Jenkintown, PA 19046-4328

Other practice locations

  • 3900 Woodland Ave, Philadelphia, PA 19104-4551 · (215) 885-6927

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP035118 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1124698840

January K. Fields's National Provider Identifier is 1124698840, issued on Jun 25, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 21, 2026.