Individual
JASON K FREEBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3004629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11661990
CAQH
—
05
—
78018256
—
KY
Enumeration date
11/08/2006
Last updated
12/16/2019
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