Provider Demographics
NPI:1598497976
Name:FRANCIS, SHAWN LYNN
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:LYNN
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 1:1145 SHADY OAK LN
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-2546
Mailing Address - Country:US
Mailing Address - Phone:386-837-5627
Mailing Address - Fax:
Practice Address - Street 1:1145 SHADY OAK LN
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-2546
Practice Address - Country:US
Practice Address - Phone:386-837-5627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician