Individual
MRS. KAREN S FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 NORTH STATE ST, JACKSON, MS 39216
(601) 984-6441
Mailing address
2500 NORTH STATE ST, JACKSON, MS 39216
(601) 984-6441
(601) 815-6446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R576816
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116012
—
MS
01
—
430034940
RAILROAD MEDICARE
—
Enumeration date
09/29/2006
Last updated
12/14/2010
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