person
Jackie Frederick, CRNP
Family Nurse Practitioner in Columbiana, Alabama
NPI 1235190885

Jackie Frederick is a Family Nurse Practitioner based in Pelham, AL and is specialized in Family. Jackie Frederick practices in Columbiana, AL and has the professional credentials of CRNP. The NPI Number for Jackie Frederick is 1235190885 and holds a License No. 1-029953 (Alabama).

The current practice location address for Jackie Frederick is 201 Old Highway 25 E, Columbiana, AL and can be reached out via phone at 205-669-4884 and via fax at 205-669-4883. You can also correspond with Jackie Frederick through the mailing address at 110 INDIAN FOREST TRL, PELHAM, AL - 35124-3706 (mailing address contact number: 205-991-8422).

Location: 201 Old Highway 25 E, Columbiana, AL, 35124-3706
person
Provider Profile Details
NPI Number
1235190885
Provider Name
Jackie Frederick
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
201 Old Highway 25 E, Columbiana, AL, 35124-3706
Phone Number
205-669-4884
Fax Number
205-669-4883
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000060256 05 AL
institution
Provider Business Practice Location Address Details
Address
201 Old Highway 25 E
City
State
Zip
35051-9373
Phone Number
205-669-4884
Fax Number
205-669-4883
person
Provider Business Mailing Address Details
Address
201 Old Highway 25 E
City
State
Zip
35051-9373
Phone Number
205-669-4884
Fax Number
205-669-4883
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-029953 (Alabama)
Definition
Definition to come...
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