Individual
ANNIE ROSE HOWELL-FRECKLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1462 MONTREAL ROAD, SUITE 201, TUCKER, GA 30084-6931
(678) 580-6931
(770) 807-0978
Mailing address
1462 MONTREAL ROAD, SUITE 201, TUCKER, GA 30084-6931
(678) 580-6931
(770) 807-0978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN183877
GA
363LF0000X
Family Nurse Practitioner
RN183877
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156391A
—
GA
05
—
003156391D
—
GA
Enumeration date
07/28/2014
Last updated
05/04/2017
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