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Individual

MS. JENNIFER ANN FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
7438 S D AVE, CONCRETE, WA 98237-9642
(360) 853-8183
(360) 853-7211
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61352690
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2240425
WA
Enumeration date
11/22/2022
Last updated
11/20/2023
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