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1346815396
JESSICA FREDERICK
AMHERST, NY
NPI
1346815396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 403374)
Enumeration Date
2021-05-21
Last Update Date
2021-07-28
Business Address
JESSICA FREDERICK PMHNP-BC
1412 SWEET HOME RD STE 3-5
AMHERST, NY 14228-2795
Phone number: 716-589-1411
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Mailing Address
JESSICA FREDERICK PMHNP-BC
255 DELAWARE AVE STE 300
BUFFALO, NY 14202-2017
Phone number: 716-842-0440
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