P Praxis·MD
● Active Type 1 · Individual

DR. Jane A. Frederick, RN, MS,PHD

Clinical Nurse Specialist·Marietta, GA· NPI 1295062289 · Enumerated 2009 · 16 years on NPI
Frederick is 1 of 2 clinical nurse specialist providers in Marietta and 1 of 32 in Georgia.
NPI age
16 years
Enumerated 2009-11-11
Primary specialty
Clinical Nurse Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 32 active clinical nurse specialist providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-11Enumerated in NPPES
2009 2026

Where they practice

Practice location
1100 S Marietta Pkwy Se # Md9004
Marietta, GA 30060
📞 4705787391fax 4705787161
Mailing address
1100 S Marietta Pkwy Se # Md9004
Marietta, GA 300602855
📞 4705787391fax 4705787161

Additional practice locations

1 secondary location on file with NPPES.

Location 2
585 Cobb Ave Nw Rm 2401
Kennesaw, GA 301445563
📞 4705896600fax 4705789102

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    GA license #RN057224 taxonomy 364SP0809X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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