JENNIFER B FREDRICKSON

SOUTHAVEN, MS
NPI1689710402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MS  R854891)
Enumeration Date2007-01-29
Last Update Date2021-12-01
Business Address
JENNIFER B FREDRICKSON APN
3964 GOODMAN RD E STE 131
SOUTHAVEN, MS 38672-8762
Phone number: 662-856-8440
Mailing Address
JENNIFER B FREDRICKSON APN
3964 GOODMAN RD E STE 131
SOUTHAVEN, MS 38672-8762
Phone number: 662-856-8440