Provider Demographics
NPI:1154484541
Name:FRANCIS, JENNIE LIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIE
Middle Name:LIN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12997 ANDOVER DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-2417
Mailing Address - Country:US
Mailing Address - Phone:317-714-9663
Mailing Address - Fax:
Practice Address - Street 1:LILLY CLINIC-INDIANA UNIVERSITY HOSPITAL
Practice Address - Street 2:550 NORTH UNIVERSITY BOULEVARD
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-655-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057090A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine