Billie Jo Freels, LPN

Individual provider Active NPI Licensed Practical Nurse · Rockwood, TN

NPI 1487922332 · NPPES record last updated Dec 7, 2011

Key facts

NPI
1487922332
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000076241 (TN)
Practice address
1362 N Gateway Ave
Rockwood, TN 37854-4108
Phone
(865) 354-1220
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN0000076241TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000076241 TN Yes

Addresses

Primary practice location

1362 N Gateway Ave
Rockwood, TN 37854-4108

Mailing address

1362 N Gateway Ave
Rockwood, TN 37854-4108
Phone (865) 354-1220

Other providers in Rockwood, TN

All providers in Rockwood, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.