Provider Demographics
NPI:1508452384
Name:FRANCIS, JIMI
Entity Type:Individual
Prefix:
First Name:JIMI
Middle Name:
Last Name:FRANCIS
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 1:11843 STANTON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6075
Mailing Address - Country:US
Mailing Address - Phone:775-303-3849
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY WAY # 0.216
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-3134
Practice Address - Country:US
Practice Address - Phone:775-303-3849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT83304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
L-14118OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
TXDT83304OtherCOMMISION ON DIETETICS REGISTRATION