Individual
MRS. ABBY GRACE FRECKLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3024 E EMPIRE ST FL 1, BLOOMINGTON, IL 61704-5402
(309) 556-7556
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019609
IL
Other
Enumeration date
06/13/2019
Last updated
01/16/2025
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