Provider Demographics
NPI:1922238260
Name:LANDRUM, FRANCES MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARIE
Last Name:LANDRUM
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:409 W SOLOMON ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-2831
Mailing Address - Country:US
Mailing Address - Phone:678-688-8700
Mailing Address - Fax:678-688-8718
Practice Address - Street 1:409 W SOLOMON ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-2831
Practice Address - Country:US
Practice Address - Phone:678-688-8700
Practice Address - Fax:678-688-8718
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN164310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily