Individual provider · Type 1 NPI

Kelsey Horner Fredericks, NP

Pediatric Nurse Practitioner · Knoxville, TN

NPI number 1922450758 Active

Practice location

2018 Clinch Ave
Knoxville, TN 37916

Fax (865) 541-8553

Mailing address

PO Box 15010
Knoxville, TN 37901-5010

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X20848 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922450758

Kelsey Horner Fredericks, NP's National Provider Identifier is 1922450758, issued on Jul 5, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Knoxville, TN. The record was last updated on Feb 14, 2025.