Individual provider · Type 1 NPI

Jake Frederick

Registered Nurse · Wayne, NJ

NPI number 1669319091 Active

Practice location

15 Falcon Pl
Wayne, NJ 07470-3505

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X26NR26572500 (NJ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1669319091

Jake Frederick's National Provider Identifier is 1669319091, issued on May 4, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wayne, NJ. The record was last updated on May 4, 2026.