Provider Demographics
NPI:1013551563
Name:FRANCIS, SHONELLE E
Entity Type:Individual
Prefix:
First Name:SHONELLE
Middle Name:E
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 SOMMERS RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1407
Mailing Address - Country:US
Mailing Address - Phone:267-745-0390
Mailing Address - Fax:
Practice Address - Street 1:7460 SOMMERS RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-1407
Practice Address - Country:US
Practice Address - Phone:267-745-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health