Provider Demographics
NPI:1518329267
Name:FREEMAN, VANESSA YVETTE (MD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:YVETTE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10025 INVESTMENT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-2664
Mailing Address - Country:US
Mailing Address - Phone:865-606-6110
Mailing Address - Fax:
Practice Address - Street 1:10025 INVESTMENT DR STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-2664
Practice Address - Country:US
Practice Address - Phone:865-606-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN629002084P0800X
ARE112042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry