Fredrick, Jenna L

Fredrick, Jenna L is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-5753. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fredrick, Jenna L can be contacted via phone (920) 430-4585.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-5753
Phone: (920) 430-4585
Fax: (920) 430-4569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 4461-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4461-33 Wisconsin

Profile Details

NPI number 1528347762
LBN Legal business name Fredrick, Jenna L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Oct 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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