Provider Demographics
NPI:1417556994
Name:FRANCIS, TORY LINN (FNP)
Entity Type:Individual
Prefix:
First Name:TORY
Middle Name:LINN
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19155 FRY RD
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:MO
Mailing Address - Zip Code:64444-9037
Mailing Address - Country:US
Mailing Address - Phone:816-805-6448
Mailing Address - Fax:
Practice Address - Street 1:19155 FRY RD
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:MO
Practice Address - Zip Code:64444-9037
Practice Address - Country:US
Practice Address - Phone:816-805-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020032731363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily