Individual provider · Type 1 NPI

Jessica Dyan Friesz, LPN

Licensed Practical Nurse · Hannibal, MO

NPI number 1700458254 Active

Practice location

3531 Stardust Dr
Hannibal, MO 63401-6224

Call (573) 603-1460 Map

Fax (573) 603-1462

Mailing address

1601 Old South River Rd
St. Charles, MO 63303-4120

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X043125358 (IL)
Licensed Practical Nurse Primary 164W00000X2012032038 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700458254

Jessica Dyan Friesz, LPN's National Provider Identifier is 1700458254, issued on Jul 14, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hannibal, MO. The record was last updated on Jul 14, 2021.