Individual
MRS. JENNIFER ROBYN FRIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
114 N WASHINGTON ST, BOURBON, IN 46504-1623
(574) 335-7850
(574) 335-0755
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002345
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200868960
—
IN
Enumeration date
04/02/2007
Last updated
10/15/2024
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