Individual
JENNIFER LYNN FRARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6500 E 2ND ST, SUITE 200, CASPER, WY 82609-4338
(307) 577-5100
(307) 234-1201
Mailing address
6500 E 2ND ST, SUITE 200, CASPER, WY 82609-4338
(307) 577-5100
(307) 234-1201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
91
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315274
BC/BS
WY
Enumeration date
09/26/2005
Last updated
01/25/2008
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