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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467472407 NPPES
South Carolina MEDICAID NP0194

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