Jennifer B Fredrickson in Southaven - Women's Health
Jennifer B Fredrickson - NPI 1689710402
Jennifer B Fredrickson is a Women's Health in Southaven, Mississippi. Jennifer B Fredrickson practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Jennifer B Fredrickson is 1689710402. The last update date is 2021-12-01.
Jennifer B Fredrickson's current location address is 3964 Goodman Rd E Ste 131, Southaven, Mississippi. You can contact this provider via phone number 6628568440. The mailing address for Jennifer B Fredrickson is 3964 Goodman Rd E Ste 131, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer B Fredrickson |
|---|---|
| Address | 3964 Goodman Rd E Ste 131, Southaven, Mississippi |
| Phone Number | 6628568440 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1689710402 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 3964 Goodman Rd E Ste 131 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386728762 |
| Phone Number | 6628568440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | R854891 |
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Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
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What is the unique provider identifier assigned to Jennifer B Fredrickson?
The Jennifer B Fredrickson has been issued the NPI (National Provider Identifier) 1689710402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jennifer B Fredrickson?
The Jennifer B Fredrickson is situated at 3964 Goodman Rd E Ste 131, in the city of Southaven, state of MS, with the zip code 386728762.
What is Jennifer B Fredrickson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer B Fredrickson is Women's Health, and the taxonomy code that classifies this field of practice is 363Lw0102X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689710402 to Jennifer B Fredrickson?
The Centers for Medicare & Medicaid Services originally issued the 1689710402 to Jennifer B Fredrickson on 2007-01-29.
When was the information regarding Jennifer B Fredrickson most recently updated?
The details pertaining to the Jennifer B Fredrickson, including its address, specialty, and other relevant information, were last refreshed on 2021-12-01.
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