Provider Demographics
NPI:1184014029
Name:WHITE, FRANCENE (RN)
Entity Type:Individual
Prefix:
First Name:FRANCENE
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 CLAIRMONT RD NE
Mailing Address - Street 2:APT 2121
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4441
Mailing Address - Country:US
Mailing Address - Phone:404-468-6726
Mailing Address - Fax:
Practice Address - Street 1:2916 CLAIRMONT RD NE
Practice Address - Street 2:APT 2121
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-4441
Practice Address - Country:US
Practice Address - Phone:404-468-6726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN229252163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse