Provider Demographics
NPI:1760609978
Name:FRANCIS, VESNA STAJKOVIC (PA)
Entity Type:Individual
Prefix:
First Name:VESNA
Middle Name:STAJKOVIC
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:
Practice Address - Street 1:1388 SAND HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-8937
Practice Address - Country:US
Practice Address - Phone:828-365-7652
Practice Address - Fax:828-365-7653
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-0012363LP0808X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-0012OtherLICENSE NUMBER
NC157ATOtherBCBS OF NC
NCP01315101OtherRR MEDICARE
NC157ATOtherBCBS OF NC