MEDICARE: DR. JENNIFER L FREEMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2010031549	MO
2	208000000X	Pediatrics Physician	27666	KS
3	208000000X	Pediatrics Physician	26612	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	12149433	OTHER	KS	MULTIPLAN
3	12721	OTHER	KS	PHS
4	17012	OTHER	KS	COVENTRY
5	057913	OTHER	KS	BCBS
6	109998	OTHER	KS	HPK
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487684015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L FREEMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2150
Second Line	:
City	:	LOWELL
State	:	AR
Zip	:	72745-2150
Country	:	US
Telephone Number	:	417-348-8964
Fax Number	:	417-336-0275

Provider Business Practice Location Address
First Line	:	1150 STATE HIGHWAY 248
Second Line	:	SUITE 202
City	:	BRANSON
State	:	MO
Zip	:	65616-3758
Country	:	US
Telephone Number	:	417-348-8964
Fax Number	:	417-336-0275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	09/25/2015

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Directions to “ DR. JENNIFER L FREEMAN M.D.” Practice Location

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