Provider Demographics
NPI:1255635298
Name:CHARLES, FRANCIS JOSEPH JR (RN)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:CHARLES
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-4254
Mailing Address - Country:US
Mailing Address - Phone:228-383-0436
Mailing Address - Fax:
Practice Address - Street 1:127 WHITE OAK DR
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-4254
Practice Address - Country:US
Practice Address - Phone:228-383-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX577199163WE0003X
IL041.319786163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency