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Jenna L Fredrick, APNP
Nurse Practitioner in Green Bay, Wisconsin
NPI 1528347762

Jenna L Fredrick is a Nurse Practitioner based in Green Bay, WI. Jenna L Fredrick practices in Green Bay, WI and has the professional credentials of APNP. The NPI Number for Jenna L Fredrick is 1528347762 and holds a License No. 4461-33 (Wisconsin).

The current practice location address for Jenna L Fredrick is 1630 Commanche Ave, Green Bay, WI and can be reached out via phone at 920-430-4585 and via fax at 920-430-4569.

Location: 1630 Commanche Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528347762
Provider Name
Jenna L Fredrick
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
1630 Commanche Ave, Green Bay, WI, 54305-2487
Phone Number
920-430-4585
Fax Number
920-430-4569
Provider Enumeration Date
08/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1630 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5753
Phone Number
920-430-4585
Fax Number
920-430-4569
person
Provider Business Mailing Address Details
Address
1630 Commanche Ave
City
Green Bay
State
Wisconsin
Zip
54313-5753
Phone Number
920-430-4585
Fax Number
920-430-4569
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4461-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Medical-Surgical
Taxonomy
364SM0705X
License No.
4461-33 (Wisconsin)
Definition
Definition to come...
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