Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GEORGE FREDERICKS IV, FNP-C
ActiveMR. GEORGE FREDERICKS IV, FNP-C is a Family Nurse Practitioner healthcare provider located in BLOUNTVILLE, Tennessee. NPI 1629798384 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLOUNTVILLE, TN
Registration Details
- NPI Number
- 1629798384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2022 (3.7712431908675 yrs)
- Last Updated
- Dec 12, 2022
- Licenses
-
0000192577 (TN)32503 (TN)
Practice Information
- Address
-
1913 HIGHWAY 394BLOUNTVILLE, TN, 376175349Browse TN providers · Browse ZIP 37617
- Phone
- 4236627002
- Fax
- 4236627003
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BLOUNTVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. KRISTINA ANN ROARK | NP-C | 1235438144 |
| LESLIE SULLINS | FNP-C | 1619490307 |
| JULIA FITCHETT | MSN, APRN, NP-C | 1104589654 |
| CORI BAKER | NP | 1407571284 |
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.