Individual provider · Type 1 NPI

Jackie Frederick, CRNP

Family Nurse Practitioner · Columbiana, AL

NPI number 1235190885 Active

Practice location

201 Old Highway 25 E
Columbiana, AL 35051-9373

Call (205) 669-4884 Map

Fax (205) 669-4883

Mailing address

110 Indian Forest Trl
Pelham, AL 35124-3706

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-029953 (AL)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1235190885

Jackie Frederick, CRNP's National Provider Identifier is 1235190885, issued on Mar 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbiana, AL. The record was last updated on May 7, 2013.