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

Jennifer Lynn Frey

Individual provider Nurse Practitioner · NPI 1437667946

Jennifer Lynn Frey is a Nurse Practitioner in Waterford, Michigan. Qualified in 2022, 4 years ago. Practices with Theoria Medical, a 342-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5758 Cooley Lake Rd
Waterford, MI 48327-3073
Phone: (855) 466-3631
Fax: (833) 973-4493
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3413 Woods Edge, Okemos, MI 48864-5901 — (517) 349-3303

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704300379 (MI)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 4704300379 (MI)

Record details

NPI number1437667946
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Waterford