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Contact Information

ALEXIS T FREDERICK, MSN, CEN, ACNP-BC
80 JESSIE HILL JR DRIVE SE
GRADY MEMORIAL HOSPITAL
ATLANTA, GA30303
 Phone: 404-752-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALEXIS T FREDERICK · (Female)

NPI Number 1093079477
Status Active
Credentials MSN, CEN, ACNP-BC
Entity Individual
Enumeration date 06/29/2012
Last updated 06/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN178750
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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