Bulk check

Jackie Frederick, CRNP

Nurse Practitioner, Family in Columbiana, AL. Individual provider (NPI-1).

NPI number1235190885
StatusActive
Last updated in NPPESMay 7, 2013

Details

NPI
1235190885
Entity type
Individual (NPI-1)
Name
Jackie Frederick
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2006
Last updated
May 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family1-029953ALYes

Practice location

201 Old Highway 25 E
Columbiana, AL 35051-9373

Phone 205-669-4884 · Fax 205-669-4883

Mailing address

110 Indian Forest Trl
Pelham, AL 35124-3706

Phone 205-991-8422 · Fax 205-669-4883

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Columbiana, AL

All 7 Family Nurse Practitioner providers in Columbiana · All 82 providers in Columbiana

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check