Freeman, Jacquelyn B
Freeman, Jacquelyn B is an individual health care provider with primary practice located at 1351 Crestview Rd , Easley SC 29642-2408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Freeman, Jacquelyn B can be contacted via phone (864) 855-5006.Contact Information
Primary practice address
1351 Crestview Rd
Easley SC 29642-2408
Phone: (864) 855-5006
Fax: (864) 850-1992
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | APN2404 | South Carolina |
Profile Details
NPI number | 1467472407 |
---|---|
LBN Legal business name | Freeman, Jacquelyn B |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
Last updated | Jan 28th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467472407 | NPPES |
South Carolina | MEDICAID | NP0194 |
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