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NICHOLAS R FREDRICKS
NPI 1447084959
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Jackson, WY

Active since August 27, 2024
555 E BROADWAY AVE STE 218, JACKSON, WY 83001(307) 739-4818 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicholas R Fredricks NPPES

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

NICHOLAS R FREDRICKS (NPI 1447084959) is an individual psychiatric/mental health, child & adolescent provider in Jackson, Wyoming, licensed in Wyoming (47072) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1447084959
Entity TypeIndividualMale
Primary Taxonomy163WP0807X
Provider Legal NameNICHOLAS R FREDRICKS
Location Address555 E BROADWAY AVE STE 218Jackson, WY 83001-8640
Mailing AddressPo Box 7005Jackson, WY 83002-7005
Phone(307) 739-4818
Sole ProprietorNo
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1447084959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in WY · 47072
555 E BROADWAY AVE STE 218, Jackson, WY 83001
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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 Nicholas Fredricks's NPI number?

The NPI number for Nicholas Fredricks is 1447084959. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Nicholas Fredricks located?

Nicholas Fredricks practices at 555 E Broadway Ave Ste 218, Jackson, WY 83001. The listed phone number is (307) 739-4818.

What is Nicholas Fredricks's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Nicholas Fredricks was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.