Individual
STEPHEN JAKE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3741 W 12600 S STE 270, RIVERTON, UT 84065-7215
(801) 285-4600
(801) 285-4601
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6428002-4405
UT
363LF0000X
Family Nurse Practitioner
6248002-8900
UT
Other
Enumeration date
08/17/2023
Last updated
12/08/2023
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