Individual
JACQUELYNE ANNE FRIEBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
(606) 528-8661
Mailing address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC041
KY
363AM0700X
Medical Physician Assistant
TC041
KY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
08/03/2026
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