Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9334976 | FL |
NPI | 1023560471 |
---|---|
Provider Name | Grace Francis |
First Address | Pensacola, FL 32501-1857 |
Second Address | Pensacola, FL 32501-1857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 04/01/2019 |