Provider Demographics
NPI:1760604565
Name:REEVES, FRANCINE LANETTE (LPN)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:LANETTE
Last Name:REEVES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4426 E MOUND ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-1740
Mailing Address - Country:US
Mailing Address - Phone:614-207-1738
Mailing Address - Fax:
Practice Address - Street 1:4426 E MOUND ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1740
Practice Address - Country:US
Practice Address - Phone:614-207-1738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN106321164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2162609Medicaid
OH1760604565OtherNPI