Individual provider · Type 1 NPI
George Fredericks Iv, FNP-C
Family Nurse Practitioner · Blountville, TN
NPI number
1629798384
Active
Practice location
1913 Highway 394
Blountville, TN 37617-5349
Fax (423) 662-7003
Other practice locations
- 132 Treadway St, Elizabethton, TN 37643-7642 · (423) 440-3095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0000192577 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 32503 (TN) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Blountville
About NPI 1629798384
George Fredericks Iv, FNP-C's National Provider Identifier is 1629798384, issued on Aug 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blountville, TN. The record was last updated on Dec 12, 2022.