| Jackie Frederick, CRNP | |
|
201 Old Highway 25 E, Columbiana, AL 35051-9373 | |
| (205) 669-4884 | |
| (205) 669-4883 |
| Full Name | Jackie Frederick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 201 Old Highway 25 E, Columbiana, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235190885 | NPI | - | NPPES |
| 000060256 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-029953 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Frederick, CRNP 110 Indian Forest Trl, Pelham, AL 35124-3706 Ph: (205) 991-8422 | Jackie Frederick, CRNP 201 Old Highway 25 E, Columbiana, AL 35051-9373 Ph: (205) 669-4884 |
Elizabeth Ann Bolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Old Highway 25 E, Columbiana, AL 35051 Phone: 205-612-9916 | |
Mrs. Jana Davis Grier, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22266 Highway 25, Columbiana, AL 35051 Phone: 205-669-3138 | |
Donna Allen, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Old Highway 25 E, Columbiana, AL 35051 Phone: 205-669-4884 Fax: 205-669-4883 | |
Stephanie Pharr, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22266 Al-25, Columbiana, AL 35051 Phone: 205-669-3138 | |
Terrica Dean Vincent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 159 Magnolia Creek Dr, Columbiana, AL 35051 Phone: 205-784-5273 | |
Don Max Thrower, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 247 Walton St, Columbiana, AL 35051 Phone: 256-362-3636 |