Individual provider · Type 1 NPI

Jennifer C. Frederick, M.ED.

Student in an Organized Health Care Education/Training Program · Quincy, MA

NPI number 1245492115 Active

Practice location

460 Quincy Ave
Quincy, MA 02169-8130

Call (617) 847-1950 Map

Fax (617) 774-1490

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245492115

Jennifer C. Frederick, M.ED.'s National Provider Identifier is 1245492115, issued on Jul 1, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Quincy, MA. The record was last updated on Jul 1, 2008.