DR. JANE A. FREDERICK


Address: 1100 S Marietta Pkwy Se # Md9004, Marietta, GA 30060
Phone: 4705787391

DR. JANE A. FREDERICK (NPI# 1295062289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295062289
Entity Type Individual
Full Name DR. JANE A. FREDERICK
Credential RN, MS,PHD
Practice Address 1100 S Marietta Pkwy Se # Md9004
Marietta
GA 30060
Mailing Address 1100 S Marietta Pkwy Se # Md9004
Marietta
GA 30060-2855
Practice Telephone 4705787391
Practice Fax Number 4705787161
Mailing Telephone 4705787391
Mailing Fax Number 4705787161
Enumeration Date 2009-11-11
Last Update Date 2018-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
RN057224 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
585 Cobb Ave Nw Rm 2401, Kennesaw, GA 301445563 4705896600 4705789102

Other Providers JANE FREDERICK

NPI Name Taxonomy Address Enumeration
1417927070 Jane Leigh Frederick Obstetrics & Gynecology 23961 Calle De La Magdalena, Suite 541, Laguna Hills, CA 92653-3616 2006-01-25

Office Location

Street Address 1100 S MARIETTA PKWY SE # MD9004
City MARIETTA
State GA
Zip Code 30060

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NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386784726 Carla Lynn Rosler Clinical Nurse Specialist 118 Putnam St, Marietta, OH 45750-2923 2007-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346638285 Robin Raiken Bledsoe Clinical Nurse Specialist 458 Ponce De Leon Ave Ne, Atlanta, GA 30308-1836 2014-12-30
1932529021 Dorothy Rainey Clinical Nurse Specialist 2553 Fieldstone Dr Se, Conyers, GA 30013-1945 2014-04-16
1245571082 Deborah A. Becker Clinical Nurse Specialist 205 Dental Dr Ste 3, Warner Robins, GA 31088-8210 2013-03-04
1548445091 Jan T Nodine Clinical Nurse Specialist 1561 Tappan Spur Rd, Watkinsville, GA 30677-3845 2008-01-03
1770791337 Jane Ellen Welch Clinical Nurse Specialist 1501 Kalamazoo Dr # A, Griffin, GA 30224-3919 2007-05-18
1720104102 Kelly West Gilfillan Clinical Nurse Specialist 700 Highway 341 S, Barnesville, GA 30204-3470 2007-03-21
1457822348 Cathy Mcelveen Billiter Clinical Nurse Specialist 1 Freedom Way # 26, Augusta, GA 30904-6258 2018-12-17
1366797391 Julie Inez Burke Clinical Nurse Specialist 690 Dallas Hwy, Suite 201, Villa Rica, GA 30180-1264 2012-07-16
1497035380 Dene Ruth Bellamy Clinical Nurse Specialist 3073 Panthersville Road, Decatur, GA 30034 2011-08-23
1972816726 Scott Nelson Howell Clinical Nurse Specialist 1763 Fernside Dr, Toccoa, GA 30577-8095 2010-07-22
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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