Individual ProviderJill Courtney FreyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Department Of Anesthesiology, Fairfax, VA 22033-1709(703) 391-3129(703) 766-9737PECOS EnrollmentBased on the most recent information from CMS, provider Jill Courtney Frey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598999500Provider TypeIndividualFull NameFrey, Jill CourtneyCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date5/5/2009Last Updated7/7/2015Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Department Of Anesthesiology, Fairfax, VA 22033-1709Phone(703) 391-3129FaxUnlisted FaxMailing LocationMailing Address11781 Lee Jackson Memorial Hwy 550, Fairfax, VA 22033-3309Phone(703) 766-9737Fax(703) 766-9725Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024168159Virginia