Individual provider · Type 1 NPI

Samantha F. Frederick, NP-C

Nurse Practitioner · Canton, GA

NPI number 1124614631 Active

Practice location

228 Riverstone Dr
Canton, GA 30114-5256

Call (770) 479-1870 Map

Fax (770) 479-9705

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN203567 (GA)

Nurse Practitioner: (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 wit…

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About NPI 1124614631

Samantha F. Frederick, NP-C's National Provider Identifier is 1124614631, issued on Dec 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, GA. The record was last updated on Sep 30, 2021.