Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN FREDRICKSON
Active Sole ProprietorJORDAN FREDRICKSON is a Technician, Health Information healthcare provider located in GROVER, Missouri. NPI 1376382267 is currently active in the NPPES registry. Verify at CMS.
Technician, Health Information · GROVER, MO
Registration Details
- NPI Number
- 1376382267
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2024 (2.2680513232773 yrs)
- Last Updated
- May 21, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2825 WESTRIDGE OAKS CTGROVER, MO, 630401130Browse MO providers · Browse ZIP 63040
- Phone
- 3147060655
- Primary Specialty
-
Technician, Health Information
247200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.