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JALISSA FREDRICK
NPI 1972455327
Counselor - Mental Health in Cordova, TN

Active since February 10, 2026
9295 ACADIA PL, CORDOVA, TN 38018(423) 508-9964 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jalissa Fredrick NPPES

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

JALISSA FREDRICK (NPI 1972455327) is an individual mental health provider in Cordova, Tennessee, licensed in Tennessee (7408) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1972455327
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJALISSA FREDRICK
Location Address9295 ACADIA PLCordova, TN 38018-7151
Mailing Address9295 Acadia PlCordova, TN 38018-7151
Phone(423) 508-9964
Sole ProprietorYes
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1972455327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 7408
9295 ACADIA PL, Cordova, TN 38018
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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 Jalissa Fredrick's NPI number?

The NPI number for Jalissa Fredrick is 1972455327. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Jalissa Fredrick located?

Jalissa Fredrick practices at 9295 Acadia Pl, Cordova, TN 38018. The listed phone number is (423) 508-9964.

What is Jalissa Fredrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jalissa Fredrick was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.