Provider Demographics
NPI:1316714207
Name:FREEMAN, STACY LENA (APRN)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:LENA
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:14690 SPRING HILL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-428-7817
Mailing Address - Fax:352-797-2491
Practice Address - Street 1:6719 GALL BLVD STE 206
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2569
Practice Address - Country:US
Practice Address - Phone:813-708-6990
Practice Address - Fax:813-537-8762
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029540363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily