| NPI | 1669189379 |
|---|---|
| Other Name | JD FRAZIER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: UT 355299-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 355299-3102) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-01-08 |