Individual
JACQUELINE FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
Mailing address
2116 SONG SPARROW CT, RUSKIN, FL 33570-8007
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN9304259
FL
363L00000X
Nurse Practitioner
Primary
11010652
FL
363LN0000X
Neonatal Nurse Practitioner
646848
FL
Other
Enumeration date
05/16/2020
Last updated
09/19/2024
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