Provider Demographics
NPI:1407966625
Name:FRANCES W. HEROD LLC
Entity Type:Organization
Organization Name:FRANCES W. HEROD LLC
Other - Org Name:LOWER CROSSING MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HEROD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-844-7999
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:MS
Mailing Address - Zip Code:38869-0188
Mailing Address - Country:US
Mailing Address - Phone:662-844-7999
Mailing Address - Fax:662-844-8858
Practice Address - Street 1:670 HWY 178
Practice Address - Street 2:SUITES 2 & 3
Practice Address - City:SHERMAN
Practice Address - State:MS
Practice Address - Zip Code:38869-0188
Practice Address - Country:US
Practice Address - Phone:662-844-7999
Practice Address - Fax:662-844-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS258978Medicare Oscar/Certification