Individual
MRS. JENNIFER SARA FRAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 675-4844
Mailing address
133 BATESVIEW DR, GREENVILLE, SC 29607-1182
(864) 607-0701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
99453
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
17476
SC
Other
Enumeration date
02/14/2011
Last updated
09/06/2023
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