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

Jesse Fredeen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104289420

Jesse Fredeen, MD is a Student in an Organized Health Care Education/Training Program in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Decatur, GA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 82526 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104289420
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

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