Individual ProviderJodi Frances FreemanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address34th Street And Civic Centre Blvd, Philadelphia, PA 19104(267) 229-2478PECOS EnrollmentBased on the most recent information from CMS, provider Jodi Frances Freeman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1710161674Provider TypeIndividualFull NameFreeman, Jodi FrancesTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date12/27/2007Last Updated2/17/2010Contact InformationPractice LocationPractice Address34th Street And Civic Centre Blvd, Philadelphia, PA 19104Phone(267) 229-2478FaxUnlisted FaxMailing LocationMailing Address34th Street And Civic Centre Blvd, Philadelphia, PA 19104Phone(267) 229-2478FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052643Pennsylvania