| Doctor Name: | JENNIFER ANNE FROST |
| NPI Number: | 1063840213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.14883-NP |
| Business Practice Address: | 7225 Old Oak Blvd Suite A210 Middleburg Heights, OH - 441303339 |
| Business Phone Number: | 4408162761 |
| Business Fax Number: | 4408168065 |
| Mailing Address: | 7225 Old Oak Blvd, Suite A210 MIDDLEBURG HEIGHTS |
| State: | OH |
| Postal Code: | 441303339 |
| Phone Number: | 4408162761 |
| Fax Number: | 4408168065 |
| NPI Enumeration Date: | 10/25/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | COA.14883-NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |