| Faith Freedom Health Llc | |
|
347 County Road 411 Proctorville OH 45669-9404 | |
| (740) 451-0511 | |
| (740) 451-0605 |
| Full Name | Faith Freedom Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 347 County Road 411, Proctorville, Ohio |
| Authorized Official Name and Position | Jessica Michelle Perdue (OWNER) |
| Authorized Official Contact | 3046342772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Freedom Health Llc 347 County Road 411 Proctorville OH 45669-9404 Ph: (740) 451-0511 | Faith Freedom Health Llc 347 County Road 411 Proctorville OH 45669-9404 Ph: (740) 451-0511 |
| NPI Number | 1588422141 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/09/2024 |
| Medicare PECOS PAC ID | 5496297210 |
|---|---|
| Medicare Enrollment ID | O20240607003452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588422141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Michelle Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285063511 PECOS PAC ID: 0547527236 Enrollment ID: I20240607003459 |
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