Individual
TERESA KAE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 SKYLINE DRIVE, RUSSELLVILLE, AR 72801
(479) 968-1298
(479) 698-6053
Mailing address
350 SALEM ROAD, SUITE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R35902
AR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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