Provider Demographics
NPI:1821731209
Name:FRANCIS BATTLE, MARQUIS JAMAL
Entity Type:Individual
Prefix:
First Name:MARQUIS
Middle Name:JAMAL
Last Name:FRANCIS BATTLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 HUDSON AVE APT 311
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1385
Mailing Address - Country:US
Mailing Address - Phone:585-789-9110
Mailing Address - Fax:
Practice Address - Street 1:396 HUDSON AVE APT 311
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1385
Practice Address - Country:US
Practice Address - Phone:585-789-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343081164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse