Fredrickson, Jennifer B

Fredrickson, Jennifer B is an individual health care provider with primary practice located at 3964 Goodman Rd E Ste 131 , Southaven MS 38672-8762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Fredrickson, Jennifer B can be contacted via phone (662) 856-8440.

Contact Information

Primary practice address
3964 Goodman Rd E Ste 131 Southaven MS 38672-8762
Phone: (662) 856-8440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R854891 Mississippi

Profile Details

NPI number 1689710402
LBN Legal business name Fredrickson, Jennifer B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Dec 1st, 2021 - about 3 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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