Individual
DR. JENNIFER L FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 STATE HIGHWAY 248, SUITE 202, BRANSON, MO 65616-3758
(417) 348-8964
(417) 336-0275
Mailing address
PO BOX 2150, LOWELL, AR 72745-2150
(417) 348-8964
(417) 336-0275
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2010031549
MO
208000000X
Pediatrics Physician
26612
OK
208000000X
Pediatrics Physician
27666
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057913
BCBS
KS
05
—
100355930A
—
KS
01
—
109998
HPK
KS
01
—
12149433
MULTIPLAN
KS
01
—
12721
PHS
KS
01
—
17012
COVENTRY
KS
05
—
200212490A
—
OK
Enumeration date
07/03/2006
Last updated
09/25/2015
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