Individual provider · Type 1 NPI
Jordan Fredrickson
Other Technician · Grover, MO
NPI number
1376382267
Active
Practice location
2825 Westridge Oaks Ct
Grover, MO 63040-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1376382267
Jordan Fredrickson's National Provider Identifier is 1376382267, issued on May 21, 2024. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Grover, MO. The record was last updated on May 21, 2024.