Wesley Donovan Freeman, FNP | |
951 Main St, Leakesville, MS 39451-9602 | |
(601) 394-2381 | |
(601) 394-2593 |
Full Name | Wesley Donovan Freeman |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 951 Main St, Leakesville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104681378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 906474 (Mississippi) | Primary |
Entity Name | Coastal Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
Mailing Address | Practice Location Address |
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Wesley Donovan Freeman, FNP 6528 Neely Avera Rd, Neely, MS 39461-2481 Ph: () - | Wesley Donovan Freeman, FNP 951 Main St, Leakesville, MS 39451-9602 Ph: (601) 394-2381 |
Mr. Eric Ashley Mccraney, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-1330 Fax: 601-947-1331 | |
Danielle Eubanks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 | |
Mrs. Kendall Shea Thornton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 | |
Caron Gibson Henderson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-5715 | |
Cynthia Winette Denmark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, Leakesville, MS 39451 Phone: 601-791-7001 Fax: 601-791-7016 | |
Mrs. Amy Malinda Lott, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 |