Provider Demographics
NPI:1497899652
Name:FREEMAN, ADRIENNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4085 MALLORY LN STE 204
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8291
Mailing Address - Country:US
Mailing Address - Phone:615-771-2656
Mailing Address - Fax:615-771-2659
Practice Address - Street 1:4085 MALLORY LN STE 204
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8291
Practice Address - Country:US
Practice Address - Phone:615-771-2656
Practice Address - Fax:615-771-2659
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1245363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1245OtherSTATE LISCENCE NUMBER
TN1245OtherSTATE LISCENCE NUMBER