Individual
JANE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Mailing address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.366154
OH
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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