Doctor Name: | KIMBERLY MELLENCAMP FREEMAN |
NPI Number: | 1720090947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.S. |
License Number: | 28116944A |
Business Practice Address: | 2325 18th St Suite 210 Columbus, IN - 472015388 |
Business Phone Number: | 8123750272 |
Business Fax Number: | 8123751093 |
Mailing Address: | 2325 18th St, Suite 210 COLUMBUS |
State: | IN |
Postal Code: | 472015388 |
Phone Number: | 8123750272 |
Fax Number: | 8123751093 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | 28116944A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |