Individual
MS. DEJUANA NICOLE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2321 OREGON AVE, LOUISVILLE, KY 40210-2135
(502) 523-6915
Mailing address
2321 OREGON AVE, LOUISVILLE, KY 40210-2135
(502) 523-6915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006318
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100143080
—
KY
Enumeration date
01/07/2010
Last updated
03/19/2025
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