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Individual

MRS. JENNIFER A FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5 N JOHNSON ST, NEWARK, IL 60541-0002
(815) 695-5042
Mailing address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 942-2932

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010403
IL

Other

Enumeration date
05/14/2013
Last updated
05/11/2017
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