Healthcare Provider Details

I. General information

NPI: 1124881073
Provider Name (Legal Business Name): LINDSEY FREELAND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 MAGNOLIA RD
CAMDEN AR
71701-4146
US

IV. Provider business mailing address

135 EMERSON PL
CAMDEN AR
71701-3059
US

V. Phone/Fax

Practice location:
  • Phone: 870-836-5709
  • Fax:
Mailing address:
  • Phone: 870-818-9192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number227629
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: