JAMIE LYNN FREDERICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020421

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LYNN

Last Name

FREDERICK

Business Name

JAMIE LYNN FREDERICK

Original Issue Date

11/08/2019

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

SAINT FRANCISVILLE

State

Zip

62460

County

LAWRENCE

Ever Disciplined

LastModifiedDate

03/02/2026