Provider Demographics
NPI:1114425907
Name:FRISKNEY, JENNIFFER J
Entity Type:Individual
Prefix:
First Name:JENNIFFER
Middle Name:J
Last Name:FRISKNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 N 110 W
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-7639
Mailing Address - Country:US
Mailing Address - Phone:260-760-9205
Mailing Address - Fax:
Practice Address - Street 1:1995 N 110 W
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-7639
Practice Address - Country:US
Practice Address - Phone:260-760-9205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist