Jordan Frederick, CRNP

NPI 1245913367 · on the registry since 2023

Practice

Address: 125 Bob Lawrence Dr
Winfield, AL 35594
Phone: (205) 487-4535
Fax: (205) 487-8827
Organisation at this address: Med360rx
Farouk A. Raquib, M.D., P.C.
Med 360 Urgent Care Winfield Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama