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Contact Information

JACQUELINE FRAZER, ARNP
3040 E COLLEGE AVE
RUSKIN, FL33570-5220
 Phone: 813-331-3940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for JACQUELINE FRAZER · (Female)

NPI # 1326660978
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/16/2020
Last updated 09/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 11010652
  • FL License # 646848
  • FL License # RN9304259
Hospital affiliation(s) Not Available
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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