JACQUELYN B FREEMAN (NPI# 1467472407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467472407 |
| Entity Type | Individual |
| Full Name | JACQUELYN B FREEMAN |
| Credential | NP |
| Practice Address |
1351 Crestview Rd Easley SC 29642-2408 |
| Practice Telephone | 8648555006 |
| Practice Fax Number | 8648501992 |
| Mailing Telephone | 8648555006 |
| Mailing Fax Number | 8648501992 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APN2404 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0194 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679906622 | Jacquelyn Jeanne Freeman | Dentist | 1460 W Moore Rd, Oro Valley, AZ 85755-8888 | 2013-08-14 |
| 1235596461 | Jacquelyn Freeman | Physician Assistant | 10050 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2117 | 2016-01-19 |
| Street Address |
1351 CRESTVIEW RD |
| City | EASLEY |
| State | SC |
| Zip Code | 29642-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563852 | Thomas Robert Dyar | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2005-10-27 |
| 1518400654 | Hayley Elizabeth Trotter | Advanced Practice Midwife | 1351 Crestview Rd, Easley, SC 29642 | 2016-11-21 |
| 1316364615 | Jonathan Douglas Hufford | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2014-03-25 |
| 1033341771 | Baptist Easley Hospital | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2009-08-13 |
| 1912937269 | Michael P Fox | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2006-07-03 |
| 1972548634 | Palmetto Health | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2006-06-18 |
| 1083605620 | Lafloyd Hueston Hobbs Jr. | Obstetrics & Gynecology | 1351 Crestview Rd, Easley, SC 29642-2408 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1437648904 | Onsite Healthcare and Wellness LLC | Nurse Practitioner | 217 Sheffield Ct, Easley, SC 29642 | 2018-05-09 |
| 1477073476 | Aubre True | Specialist/Technologist | 124 Century Oaks Dr, Easley, SC 29642 | 2017-06-21 |
| 1912439944 | First Physical Therapy, LLC | Clinic/Center | 3613 Sc 153, Suite 200, Powdersville, SC 29642 | 2017-03-29 |
| 1801146485 | Sara Michele Calvert | Pharmacist | 1063 South Pendleton Street, Easley, SC 29642 | 2012-09-11 |
| 1023365251 | Heather Lilley | Pharmacist | 5251 Calhoun Memorial Hwy, Easley, SC 29642 | 2012-08-07 |
| 1942590088 | Mallorie Bryan Costner | Speech-Language Pathologist | 507 Huntington Road, Easley, SC 29642 | 2011-04-11 |
| 1225352339 | Jon Lawrence Rhoden | Pharmacist | 320 Watson Road, Easley, SC 29642 | 2010-03-18 |
| 1386865350 | Gordon David Dannelly | Dentist | 701 Brushy Creek Road, Easley, SC 29642 | 2007-05-01 |
| 1538280755 | Michelle Leigh Tucker | Obstetrics & Gynecology | 1351 Crestview Road, Easley, SC 29642 | 2007-04-03 |
| Find all providers in zip 29642 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720282494 | Kimberly Dawn Jordan | Nurse Practitioner | 303 Dacusville Hwy, Easley, SC 29640-1510 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130839 | Mary Elizabeth Lane | Nurse Practitioner | 1350a Cleveland St, Greenville, SC 29607-2408 | 2014-10-24 |
| 1134242456 | Debra Ann Moynihan | Nurse Practitioner | 4017 Bypass 17, Murrells Inlet, SC 29576-2674 | 2007-04-10 |
| 1104927334 | Deborah Jenkins | Nurse Practitioner | 401 Guess Street, Suite 100, Greenville, SC 29605-4155 | 2006-09-26 |
| 1548290331 | Lorraine Hansen Hensley | Nurse Practitioner | 531 Lafayette Cir, Georgetown, SC 29440-2569 | 2006-07-04 |
| 1235128141 | Susan Annette West Hallman | Nurse Practitioner | 471 University Pkwy, Aiken, SC 29801-6389 | 2005-10-14 |
| 1396732111 | Janet C Poole | Nurse Practitioner | 1410 S Kings Hwy, Myrtle Beach, SC 29577-4509 | 2005-10-06 |
| 1104812403 | Jean T Isherwood | Nurse Practitioner | 811 W Main St Ste 209, Lexington, SC 29072-2500 | 2005-09-22 |
| 1508864406 | Charlene N Bunger | Nurse Practitioner | 620 Singleton Ridge Rd Ste 385, Conway, SC 29526-9154 | 2005-07-13 |
| 1790789519 | Cynthia Anne Dodd | Nurse Practitioner | 112 Hospital Dr W, West Columbia, SC 29169-3406 | 2005-06-09 |
| 1366071474 | Cynthia S Koli | Nurse Practitioner | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.