Individual
JOHNNA L FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-8153
(816) 698-8165
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-8153
(816) 698-8165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9781
WI
363LN0000X
Neonatal Nurse Practitioner
Primary
45376
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095801
—
WI
01
—
161237
BCBS OF KANSAS
KS
05
—
200252060A
—
KS
01
—
460580
FIRSTGUARD
KS
Enumeration date
10/03/2006
Last updated
01/07/2020
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