Individual
MELINDA L PHILLIPS FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
199 HENSLEE DR, DICKSON, TN 37055-2076
(615) 326-8361
(615) 326-8468
Mailing address
6171 HIGHWAY 48 N, CUMBERLAND FURNACE, TN 37051-4760
(615) 838-6682
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503984
—
TN
01
—
4336559
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/27/2007
Last updated
07/14/2015
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