Individual
MS. JESSICA FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CLC
Contact information
Practice address
540 SAINT JOHNS PL APT 5E, BROOKLYN, NY 11238-5512
(917) 523-3821
Mailing address
540 SAINT JOHNS PL APT 5E, BROOKLYN, NY 11238-5512
(917) 523-3821
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP43687
NY
374J00000X
Doula
—
NY
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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