Individual
NINA FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 CAROTHERS PKWY STE 208, FRANKLIN, TN 37067-5916
(615) 778-0010
Mailing address
1111 STONEWALL DR, NASHVILLE, TN 37220-1024
(615) 479-8038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
64469
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2018
Last updated
09/13/2022
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