Individual
JESSICA R FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717937-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382839-1
NY
Other
Enumeration date
06/22/2017
Last updated
03/11/2018
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