Individual
JENNIFER MAYRA FRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 421-0500
Mailing address
2709 E 58TH ST, DAVENPORT, IA 52807-3540
(563) 343-8294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A164109
IA
363LF0000X
Family Nurse Practitioner
Primary
A164109
IA
Other
Enumeration date
07/20/2021
Last updated
11/24/2021
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