Freeman, Jill Leanne
Freeman, Jill Leanne is an individual health care provider with primary practice located at 6025 Lake Rd Ste 200 , Woodbury MN 55125-1710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Freeman, Jill Leanne can be contacted via phone (651) 999-6800.Contact Information
Primary practice address
6025 Lake Rd Ste 200
Woodbury MN 55125-1710
Phone: (651) 999-6800
Fax: (651) 999-6830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R134485-9 | Minnesota |
Profile Details
| NPI number | 1639113384 |
|---|---|
| LBN Legal business name | Freeman, Jill Leanne |
| Credentials | APRN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 6th, 2016 - about 10 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 | 1639113384 | NPPES |
| Minnesota | MEDICAID | 33933000 |
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