Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NNO4316600 | NJ |
NPI | 1013949908 |
---|---|
Provider Name | Mrs. Carla Francis |
First Address | Boonton, NJ 07005-8924 |
Second Address | East Orange, NJ 07018-1023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 13/09/2012 |