Provider Demographics
NPI:1073169363
Name:FRANCIS, RACHEL ANN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 COUNTY ROAD 102
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:MO
Mailing Address - Zip Code:63650-8815
Mailing Address - Country:US
Mailing Address - Phone:573-466-9006
Mailing Address - Fax:
Practice Address - Street 1:55 NESBIT DR
Practice Address - Street 2:
Practice Address - City:BONNE TERRE
Practice Address - State:MO
Practice Address - Zip Code:63628-1353
Practice Address - Country:US
Practice Address - Phone:573-358-1700
Practice Address - Fax:573-358-1702
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019041359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily