Individual
JORDAN ZENTMEYER FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5741 CLEVELAND ST STE 150, VIRGINIA BEACH, VA 23462-1777
(757) 422-5502
Mailing address
5741 CLEVELAND ST STE 150, VIRGINIA BEACH, VA 23462-1777
(757) 422-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001279981
VA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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