MRS. SHEILA ANN FREDERICK AGNP-C
NPI 1063975621
Nurse Practitioner - Gerontology in Fulton, MS
Active since April 10, 2019
About Mrs. Sheila Ann Frederick Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHEILA ANN FREDERICK AGNP-C (NPI 1063975621) is an individual gerontology provider in Fulton, Mississippi, licensed in Mississippi (903158) and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1063975621
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. SHEILA ANN FREDERICKCredential: AGNP-C
Location Address65 PATTON CEMETARY RDFulton, MS 38843-9353
Mailing Address65 Patton Cemetary RdFulton, MS 38843-9353 · (662) 213-8086
Phone(662) 213-8086
Sole ProprietorYes
Enumeration DateApril 10, 2019
✔ NPI 1063975621 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MS · 903158
65 PATTON CEMETARY RD, Fulton, MS 38843
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063975621, enumerated as an "individual" on April 10, 2019.
The provider is located at 65 PATTON CEMETARY RD FULTON, MS 38843 and the phone number is (662) 213-8086.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
