Provider Demographics
NPI:1467032284
Name:BISONG, FRANCISCA OBI
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:OBI
Last Name:BISONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 POTOMAC MANORS CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4919
Mailing Address - Country:US
Mailing Address - Phone:401-256-8830
Mailing Address - Fax:
Practice Address - Street 1:13 POTOMAC MANORS CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4919
Practice Address - Country:US
Practice Address - Phone:401-256-8830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR220214363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health