Healthcare Provider Details

I. General information

NPI: 1285671552
Provider Name (Legal Business Name): DEE ANN FREEMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 COUNTY ROAD 120 S
SOUTH POINT OH
45680-7807
US

IV. Provider business mailing address

PO BOX 1595 ATTN: ANNA JONES
ASHLAND KY
41105-1595
US

V. Phone/Fax

Practice location:
  • Phone: 740-894-2080
  • Fax: 740-894-5406
Mailing address:
  • Phone: 606-408-6200
  • Fax: 606-408-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3004592
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number07589-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: