Healthcare Provider Details

I. General information

NPI: 1407774367
Provider Name (Legal Business Name): TAYLOR LINDSEY FREEMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7048 OLD CANTON RD STE 2E
RIDGELAND MS
39157-1021
US

IV. Provider business mailing address

7048 OLD CANTON RD STE 2E
RIDGELAND MS
39157-1021
US

V. Phone/Fax

Practice location:
  • Phone: 601-992-9790
  • Fax: 601-992-9796
Mailing address:
  • Phone: 601-992-9790
  • Fax: 601-992-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number908315
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: