Individual
JACQUELYN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4205 BELFORT RD STE 1100, JACKSONVILLE, FL 32216
(904) 450-6300
Mailing address
4205 BELFORT RD STE 1100, JACKSONVILLE, FL 32216-5876
(904) 450-6300
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
07/31/2025
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