Individual
ELEANOR FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38302
(731) 541-5000
Mailing address
301 HURTS CHAPEL ROAD, JACKSON, TN 38301
(731) 313-0974
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000068887
TN
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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