NPI 1104681378

Wesley Donovan Freeman, FNP

Practitioner Family Nurse Practitioner Leakesville, MS

Practice location

Address: 951 Main St, Leakesville, MS 39451-9602
Phone: (601) 394-2381
Fax: (601) 394-2593
Mailing address: 6528 Neely Avera Rd, Neely, MS 39461-2481

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 906474 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1104681378
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2024
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.