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JORDAN FREDRICKSON
NPI 1376382267
Technician, Other in Grover, MO

Active since May 21, 2024
2825 WESTRIDGE OAKS CT, GROVER, MO 63040(314) 706-0655 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Fredrickson NPPES

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

JORDAN FREDRICKSON (NPI 1376382267) is an individual technician, other provider in Grover, Missouri and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1376382267
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameJORDAN FREDRICKSON
Location Address2825 WESTRIDGE OAKS CTGrover, MO 63040-1130
Mailing Address2825 Westridge Oaks CtGrover, MO 63040-1130 · (314) 706-0655
Phone(314) 706-0655
Sole ProprietorYes
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1376382267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
2825 WESTRIDGE OAKS CT, Grover, MO 63040
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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 Jordan Fredrickson's NPI number?

The NPI number for Jordan Fredrickson is 1376382267. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Jordan Fredrickson located?

Jordan Fredrickson practices at 2825 Westridge Oaks Ct, Grover, MO 63040. The listed phone number is (314) 706-0655.

What is Jordan Fredrickson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Jordan Fredrickson was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.