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Kelli Jean Frederickson, NP-C
Nurse Practitioner in Green Bay, Wisconsin
NPI 1659777332

Kelli Jean Frederickson is a Nurse Practitioner based in Green Bay, WI. Kelli Jean Frederickson practices in Green Bay, WI and has the professional credentials of NP-C. The NPI Number for Kelli Jean Frederickson is 1659777332 and holds a License No. 6107-33 (Wisconsin).

The current practice location address for Kelli Jean Frederickson is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 920-288-8300 and via fax at 920-288-8305.

Location: 2845 Greenbrier Rd, Green Bay, WI, 54303-2728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659777332
Provider Name
Kelli Jean Frederickson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2845 Greenbrier Rd, Green Bay, WI, 54303-2728
Phone Number
920-288-8300
Fax Number
920-288-8305
Provider Enumeration Date
11/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100041694 05 WI
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8300
Fax Number
920-288-8305
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-8300
Fax Number
920-288-8305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6107-33 (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.
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