Freeman, Shaunda T
Freeman, Shaunda T is an individual health care provider with primary practice located at 2045 Hwy 61 North , Port Gibson MS 39150-4262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Freeman, Shaunda T can be contacted via phone (601) 437-3050.Contact Information
Primary practice address
2045 Hwy 61 North
Port Gibson MS 39150-4262
Phone: (601) 437-3050
Fax: (601) 437-3051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R864672 | Mississippi |
Profile Details
| NPI number | 1265510440 |
|---|---|
| LBN Legal business name | Freeman, Shaunda T |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Apr 20th, 2011 - about 13 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 | 1265510440 | NPPES |
| Mississippi | MEDICAID | 02975221 |
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