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

Shanda Nicole Frederick, LPN

Individual provider Licensed Practical Nurse · NPI 1538444989

Shanda Nicole Frederick, LPN is a Licensed Practical Nurse in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

633 S 19th St 1st Fl
Newark, NJ 07103-1116
Phone: (862) 576-7768
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 26NP06593200 (NJ)

Record details

NPI number1538444989
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 17, 2011
Last updated in NPPESOctober 17, 2011

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