Individual
JILL LEANNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
(651) 999-6830
Mailing address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
(651) 999-6830
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R134485-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33933000
—
MN
Enumeration date
06/15/2006
Last updated
04/06/2016
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