Individual
JENNY L FREDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1930 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(973) 661-8300
(973) 661-8333
Mailing address
400 BROADACRES DR STE 445, BLOOMFIELD, NJ 07003-3156
(973) 661-8300
(814) 689-1954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN656025
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016295
PA
Other
Enumeration date
05/16/2016
Last updated
04/18/2025
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