Individual
JODI MARIE FRYDENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Mailing address
409 SHELTON DR, SMITH CENTER, KS 66967-3301
(785) 282-5467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114389
NE
363LF0000X
Family Nurse Practitioner
53-81263-042
KS
Other
Enumeration date
07/28/2020
Last updated
09/20/2022
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