Individual
JACQUELYN B FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1351 CRESTVIEW RD, EASLEY, SC 29642-2408
(864) 855-5006
(864) 850-1992
Mailing address
1351 CRESTVIEW RD, EASLEY, SC 29642-2408
(864) 855-5006
(864) 850-1992
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN2404
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0194
—
SC
Enumeration date
07/20/2006
Last updated
01/28/2013
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