Individual
JENNIFER LEE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5096A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200873920
—
IN
01
—
2867285000
PASSPORT ADVANTAGE
KY
01
—
50016501
PASSPORT
KY
05
—
7100025040
—
KY
Enumeration date
10/17/2006
Last updated
03/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us