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MS. ANGELA RACHELLE FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
30 CIRCLE J DR STE 1, LAUREL, MS 39440-1981
(601) 425-0092
Mailing address
558 PECAN GROVE RD, ELLISVILLE, MS 39437-4299
(601) 470-5913

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R869776
MS
207Q00000X
Family Medicine Physician
904988
MS
363LF0000X
Family Nurse Practitioner
Primary
904988
MS

Other

Enumeration date
04/28/2021
Last updated
05/05/2022
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