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

Teresa Fredericks, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1114779931

Teresa Fredericks, RN is an Ambulatory Care Registered Nurse in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 2007004315 (MO)

Record details

NPI number1114779931
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address915 N Grand Blvd, Saint Louis, MO 63106-1621

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