MRS. JENNIFER A FRYE


Address: 5 N Johnson St, Newark, IL 60541-0002
Phone: 8156955042

MRS. JENNIFER A FRYE (NPI# 1114363470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114363470
Entity Type Individual
Full Name MRS. JENNIFER A FRYE
Credential NP
Practice Address 5 N Johnson St
Newark
IL 60541-0002
Mailing Address 150 W High St
Morris
IL 60450-1463
Practice Telephone 8156955042
Mailing Telephone 8159422932
Enumeration Date 2013-05-14
Last Update Date 2017-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.010403 IL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 5 N JOHNSON ST
City NEWARK
State IL
Zip Code 60541-0002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578703880 Jeffrey Charles Clausen I Counselor 24402 West Lockport, Plainfield, IL 60541 2009-02-26
1790817369 Carol Jay Navarro Specialist/Technologist 413 Chicago Road, Newark High School, Newark, IL 60541 2007-03-09
1972684066 Valerie Wodzinski Clinical Nurse Specialist 119 Northgate, Riverside, IL 60541 2006-10-17
1366585101 Jennifer Bazan Physical Therapist 1938 E Lincoln Highway, Suite 111, New Lenox, IL 60541 2007-02-14
1235247594 Newark Fire Protection District Ambulance 101 E. Main St, Newark, IL 60541-0577 2006-08-28
1659424802 Newark Community High School #18 Local Education Agency (LEA) 413 Chicago Rd, Newark, IL 60541-8900 2007-01-19
1437255460 Barbara L. Wrobel Physical Therapist 4434 E 29th Rd, Newark, IL 60541-9125 2006-09-16
1053882779 Emma Leigh Nelson Specialist/Technologist 16647 Townhouse Rd, Newark, IL 60541-9219 2018-12-06
1801949060 Newark Grade School #66 Local Education Agency (LEA) 503 Chicago Rd, Newark, IL 60541-9501 2007-01-19
1417000670 Lisbon Grade School #90 Local Education Agency (LEA) 127 S Canal St, Newark, IL 60541-9776 2007-01-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City NEWARK
Zip Code 60541

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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