Individual
JENNIFER FRUTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4102 BEN FRANKLIN BLVD, DURHAM, NC 27704-2140
(919) 972-7700
Mailing address
350 HIDDEN LAKE DR, YOUNGSVILLE, NC 27596-7470
(305) 733-9095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020825
NC
Other
Enumeration date
09/05/2024
Last updated
11/13/2024
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