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Jalissa Fredrick

NPI 1972455327 · on the registry since 2026 · sole proprietor

Practice

Address
9295 Acadia Pl
Cordova, TN 38018
Phone
(423) 508-9964

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-10

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 Tennessee