Jean Jauner Frederic, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

297495 Issued in AZ

Practice address

181 Whipple St
Prescott, AZ 86301-1705

Phone

(928) 445-5211

Fax

(928) 775-9231

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Yavapai Guidance Clinic

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1023836533
  NPD (past)
• West Yavapai Guidance Clinic

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
  • NPI 1750335311
  NPD (past)
• West Yavapai Guidance Clinic, Inc

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1952550071

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1174302145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011705",
            "telephone_number": "928-445-5211",
            "fax_number": "928-775-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011705",
            "telephone_number": "928-445-5211",
            "fax_number": "928-775-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERIC",
        "first_name": "JEAN",
        "middle_name": "JAUNER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "297495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew G. Frankel, MD
• Shyloe Franz
• Vanessa Frazier, FNP-C
• Warisara Frechen
• Fred S Markham MD PC
• Tracey Frederiksen, MC
• Zoey L Freebairn, NMD
• Freedom Performance, LLC
• Freedom Recovery Center, LLC.
• Austin Freeman, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.