Provider Demographics
NPI:1275426223
Name:FRAZIER HEALTH CONNECT LLC
Entity type:Organization
Organization Name:FRAZIER HEALTH CONNECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:KSHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:678-683-0128
Mailing Address - Street 1:2440 WISTERIA DR UNIT 72
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-1922
Mailing Address - Country:US
Mailing Address - Phone:678-683-0128
Mailing Address - Fax:
Practice Address - Street 1:2580 LAKE COMMONS CT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6449
Practice Address - Country:US
Practice Address - Phone:678-683-0128
Practice Address - Fax:678-683-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty