Individual
JESSICA MCLELLAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 438
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935048
—
AL
Enumeration date
07/26/2006
Last updated
07/26/2023
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