Individual
TRACY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
215 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-5118
Mailing address
1001 FURIA DR, JACKSONVILLE, NC 28540-3304
(910) 455-6410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155147
STATE LICENSE
NC
Enumeration date
01/23/2008
Last updated
01/23/2008
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