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NPI Code Detail

MEDICARE: JANELLE JENSEN FRITZ

MEDICARE: JANELLE JENSEN FRITZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6566CAL

General Provider Information

NPI Number : 1912692153
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE JENSEN FRITZ
Provider Business Mailing Address
First Line : 4126 AUTUMN LN
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5209
Country : US
Telephone Number : 205-967-3277
Fax Number :
Provider Business Practice Location Address
First Line : 4126 AUTUMN LN
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5209
Country : US
Telephone Number : 205-967-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 05/20/2026

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Directions to “ JANELLE JENSEN FRITZ ” Practice Location

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