Individual
JENNIFER J FRITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1415 S HWY 89, JACKSON, WY 83001-8515
(307) 739-8999
(307) 739-4811
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-8999
(307) 739-4811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
292
WY
207Q00000X
Family Medicine Physician
292
WY
363A00000X
Physician Assistant
Primary
292
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125792700
—
WY
Enumeration date
11/21/2006
Last updated
02/01/2021
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