Individual
JESSICA LEE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6497
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R0106169
OK
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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