Individual provider · Type 1 NPI
Kaitlyn Victoria Fredrick, APN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1952778441
Active
Practice location
1525 Clifton Rd NE
Atlanta, GA 30322-4200
Mailing address
274 Josephine St NE
Atlanta, GA 30307-2002
Other practice locations
- 319 SW Washington St, Suite 1015, Portland, OR 97204-2635 · (503) 489-8804
- 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 · (770) 871-3726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201509309NP-PP (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN290699 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1952778441
Kaitlyn Victoria Fredrick, APN, PMHNP-BC's National Provider Identifier is 1952778441, issued on Aug 31, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on Jun 11, 2021.