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1093280042
JESSICA LEIGH FREDERICK
JEFFERSON CITY, MO
NPI
1093280042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2018036418)
Enumeration Date
2018-10-05
Last Update Date
2022-09-14
Business Address
JESSICA LEIGH FREDERICK FNP-BC
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-4860
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Mailing Address
JESSICA LEIGH FREDERICK FNP-BC
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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