Individual provider · Type 1 NPI
Jake Alan Freeman, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
NPI number
1609316827
Active
Practice location
3001 N 33rd Ave
Phoenix, AZ 85017-5202
Mailing address
2219 S Valle Verde
Mesa, AZ 85209-1530
Other practice locations
- 1235 SE Division St Ste 201B, Portland, OR 97202-1099 · (971) 319-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10014898 (OR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP9942 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609316827
Jake Alan Freeman, PMHNP's National Provider Identifier is 1609316827, issued on Mar 7, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 12, 2025.