| Doctor Name: | MRS. SHAUNDA T FREEMAN |
| NPI Number: | 1265510440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R864672 |
| Business Practice Address: | 2045 Hwy 61 North Port Gibson, MS - 391504262 |
| Business Phone Number: | 6014373050 |
| Business Fax Number: | 6014373051 |
| Mailing Address: | Po Box 741, PORT GIBSON |
| State: | MS |
| Postal Code: | 391500741 |
| Phone Number: | 6014373050 |
| Fax Number: | 6014373051 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R864672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |