Jackie Frederick, CRNP
NPI #1235190885 in Columbiana, Alabama
Provider Information
- NPI Number
- 1235190885
- Entity Type
- Individual
- Name
- Jackie Frederick, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Mar 31, 2006
- Last Updated
- May 7, 2013
Practice Location
- Address
- 201 OLD HIGHWAY 25 E
- City
- Columbiana
- State
- Alabama
- ZIP Code
- 35051-9373
- Phone
- (205) 669-4884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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