Provider Demographics
NPI:1184708927
Name:FRANCZAK, JENNY ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:ELIZABETH
Last Name:FRANCZAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 EAST FRANKLIN ST.
Mailing Address - Street 2:SUITE 700B
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514
Mailing Address - Country:US
Mailing Address - Phone:919-967-4171
Mailing Address - Fax:919-967-4173
Practice Address - Street 1:1829 EAST FRANKLIN ST.
Practice Address - Street 2:SUITE 700B
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-967-4171
Practice Address - Fax:919-967-4173
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F17697Medicare ID - Type Unspecified
NC2166991CMedicare ID - Type Unspecified
NC8933652Medicare ID - Type Unspecified