Individual
JESSICA NICOLE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 RALDEN CT, WINDSOR MILL, MD 21244-1461
(800) 784-2464
Mailing address
13 RALDEN CT, WINDSOR MILL, MD 21244-1461
(800) 784-2464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R212931
MD
163WH0200X
Home Health Registered Nurse
R212931
MD
163WI0500X
Infusion Therapy Registered Nurse
Primary
R212931
MD
Other
Enumeration date
05/06/2022
Last updated
05/13/2022
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