Provider Demographics
NPI:1922774959
Name:FRENCH, MARCIA LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:LYNN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4586 S BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-9516
Mailing Address - Country:US
Mailing Address - Phone:517-231-4845
Mailing Address - Fax:
Practice Address - Street 1:215 E MANSION ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-1559
Practice Address - Country:US
Practice Address - Phone:289-781-3938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704264369207VX0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics