Jason Paul Frederick, RN
NPI #1316655343 in Bella Vista, Arkansas
Provider Information
- NPI Number
- 1316655343
- Entity Type
- Individual
- Name
- Jason Paul Frederick, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Nov 8, 2022
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 119 GRANSHIRE DR
- City
- Bella Vista
- State
- Arkansas
- ZIP Code
- 72714-4917
- Phone
- (479) 633-3269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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