Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Paul Frederick, RN

Individual provider Registered Nurse · NPI 1316655343

Jason Paul Frederick, RN is a Registered Nurse in Bella Vista, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

119 Granshire Dr
Bella Vista, AR 72714-4917
Phone: (479) 633-3269
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R095610 (AR)

Record details

NPI number1316655343
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address119 Granshire Dr, Bella Vista, AR 72714-4917

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