Frederick, Jeannine F
Frederick, Jeannine F is an individual health care provider with primary practice located at 1970 N Highway 190 , Covington LA 70433-5364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Frederick, Jeannine F can be contacted via phone (985) 892-5355.Contact Information
Primary practice address
1970 N Highway 190
Covington LA 70433-5364
Phone: (985) 892-5355
Fax: (985) 256-5687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN078775-AP05838 | Louisiana |
Profile Details
| NPI number | 1356611339 |
|---|---|
| LBN Legal business name | Frederick, Jeannine F |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2012 |
| Last updated | Feb 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356611339 | NPPES |
| Louisiana | MEDICAID | 2349988 |
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