Individual
JACQUELYN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2550 PARK ST STE B, JACKSONVILLE, FL 32204-4518
(904) 223-3321
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016547300
—
FL
01
—
L5T3N
FLORIDA BLUE
FL
Enumeration date
01/19/2016
Last updated
08/13/2026
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