Individual provider · Type 1 NPI
Alexis Taylor Frederick, MSN, CEN, ACNP-BC
Acute Care Nurse Practitioner · Atlanta, GA
NPI number
1093079477
Active
Practice location
80 Jessie Hill Jr Drive SE, Grady Memorial Hospital
Atlanta, GA 30303
Mailing address
2920 Brookevale Ct
Alpharetta, GA 30004-8466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN178750 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1093079477
Alexis Taylor Frederick, MSN, CEN, ACNP-BC's National Provider Identifier is 1093079477, issued on Jun 29, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Jun 29, 2012.