| Doctor Name: | MRS. BONNIE LYN FREELAND |
| NPI Number: | 1083753230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-BC |
| License Number: | APN0000005578 |
| Business Practice Address: | 5121 Ooltewah Ringgold Rd Suite G Ooltewah, TN - 373638580 |
| Business Phone Number: | 4232380033 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1197, 4744 White Oak Drive COLLEGEDALE |
| State: | TN |
| Postal Code: | 373151197 |
| Phone Number: | 4232407466 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000005578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |