Individual
MRS. ALEXIS TAYLOR FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CEN, ACNP-BC
Contact information
Practice address
80 JESSIE HILL JR DRIVE SE, GRADY MEMORIAL HOSPITAL, ATLANTA, GA 30303
(404) 752-1500
Mailing address
2920 BROOKEVALE CT, ALPHARETTA, GA 30004-8466
(850) 445-5640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN178750
GA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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