Individual
JENNIFER FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
Mailing address
12364 LAKE LAWRENCE BLVD, LAWRENCEVILLE, IL 62439-4548
(812) 881-0009
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28267906A
IN
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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