DR. JANE A. FREDERICK RN, MS,PHD
NPI 1295062289
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Marietta, GA

Q: What is Jane Frederick's NPI number?

The NPI number for Jane Frederick is 1295062289. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Q: What is Jane Frederick's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Q: When was this NPI record last updated?

The NPPES record for Jane Frederick was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2009

1100 S MARIETTA PKWY SE # MD9004, MARIETTA, GA 30060(470) 578-7391(470) 578-7161 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jane A. Frederick Rn, Ms,phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JANE A. FREDERICK RN, MS,PHD (NPI 1295062289) is an individual psychiatric/mental health, adult provider in Marietta, Georgia, licensed in Georgia (RN057224) and active in the NPI registry since November 2009. She maintains a secondary practice location in Kennesaw.

NPPES Registry Identity

NPI1295062289

Entity TypeIndividualFemale

Primary Taxonomy364SP0809X

Provider Legal NameDR. JANE A. FREDERICKCredential: RN, MS,PHD

Location Address1100 S MARIETTA PKWY SE # MD9004Marietta, GA 30060

Mailing Address1100 S Marietta Pkwy Se # Md9004Marietta, GA 30060-2855 · (470) 578-7391 · Fax (470) 578-7161

Phone(470) 578-7391

Fax(470) 578-7161

Sole ProprietorNo

Enumeration DateNovember 11, 2009

Last NPPES UpdateJune 12, 2018

✔ NPI 1295062289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0809X

License✔ Licensed in GA · RN057224

1100 S MARIETTA PKWY SE # MD9004, Marietta, GA 30060

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Secondary Practice Location 1

Location 1585 Cobb Ave NW Rm 2401Kennesaw, GA 30144-5563 · Phone (470) 589-6600 · Fax (470) 578-9102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jane Frederick's NPI number?

The NPI number for Jane Frederick is 1295062289. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Jane Frederick located?

Jane Frederick practices at 1100 S Marietta Pkwy SE # Md9004, Marietta, GA 30060. The listed phone number is (470) 578-7391.

What is Jane Frederick's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

When was this NPI record last updated?

The NPPES record for Jane Frederick was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.