Individual
JONATHAN CHANDLER FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1344 W SENECA AVE, TIFFIN, OH 44883-2652
(419) 455-8140
(419) 225-8878
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0036432
OH
Other
Enumeration date
04/16/2024
Last updated
10/30/2024
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