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PERI FREDRICK
NPI 1669334678
Physician Assistant in Jacksonville, FL

Active since November 27, 2025
3711 VICKERS LAKE DR, JACKSONVILLE, FL 32224(860) 490-9698 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peri Fredrick NPPES

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

PERI FREDRICK (NPI 1669334678) is an individual physician assistant in Jacksonville, Florida and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1669334678
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePERI FREDRICK
Location Address3711 VICKERS LAKE DRJacksonville, FL 32224-8430
Mailing Address3711 Vickers Lake DrJacksonville, FL 32224-8430 · (860) 490-9698
Phone(860) 490-9698
Sole ProprietorNo
Enumeration DateNovember 27, 2025
NPPES CertifiedNovember 27, 2025
✔ NPI 1669334678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3711 VICKERS LAKE DR, Jacksonville, FL 32224
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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 Peri Fredrick's NPI number?

The NPI number for Peri Fredrick is 1669334678. It was assigned to this individual provider in the NPPES registry on November 27, 2025.

Where is Peri Fredrick located?

Peri Fredrick practices at 3711 Vickers Lake Dr, Jacksonville, FL 32224. The listed phone number is (860) 490-9698.

What is Peri Fredrick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Peri Fredrick was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.