Fryda, Jennifer L

Fryda, Jennifer L is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fryda, Jennifer L can be contacted via phone (920) 926-8571.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 926-8571
Fax: (920) 926-8298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6492 Wisconsin

Profile Details

NPI number 1548636749
LBN Legal business name Fryda, Jennifer L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Nov 18th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548636749 NPPES
Wisconsin MEDICAID 1548636749

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