Provider Demographics
NPI:1609023654
Name:HARRIS, FRANCESCA (PA-C)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CTF 53/MSC CENT
Mailing Address - Street 2:PSC 851 BOX 509
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09834-0006
Mailing Address - Country:US
Mailing Address - Phone:858-964-6472
Mailing Address - Fax:
Practice Address - Street 1:CTF 53/MSC CENT
Practice Address - Street 2:PSC 851 BOX 509
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09834-0006
Practice Address - Country:US
Practice Address - Phone:858-964-6472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1102081OtherNCCPA