Individual provider · Type 1 NPI

Jordan Frederick, CRNP

Nurse Practitioner · Winfield, AL

NPI number 1245913367 Active

Practice location

125 Bob Lawrence Dr
Winfield, AL 35594-0019

Fax (205) 487-8827

Mailing address

PO Box 1140
Winfield, AL 35594-1140

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1155321 (AL)

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…

About NPI 1245913367

Jordan Frederick, CRNP's National Provider Identifier is 1245913367, issued on Aug 8, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winfield, AL. The record was last updated on Aug 8, 2023.