Individual
DR. JANE A. FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS,PHD
Contact information
Practice address
1100 S MARIETTA PKWY SE # MD9004, MARIETTA, GA 30060
(470) 578-7391
(470) 578-7161
Mailing address
1100 S MARIETTA PKWY SE # MD9004, MARIETTA, GA 30060-2855
(470) 578-7391
(470) 578-7161
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN057224
GA
Other
Enumeration date
11/11/2009
Last updated
06/12/2018
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