Individual
MS. JACQUELINE R. FRYDENLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N STE 200, NASHVILLE, TN 37203-6002
(615) 327-4304
Mailing address
4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-8678
(615) 322-3573
(615) 936-6046
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10676
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-0476822
TAX ID
—
Enumeration date
07/26/2005
Last updated
01/16/2020
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