Provider Demographics
NPI:1295704989
Name:FRENCH, ROBERT SCOTT (CFNP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SCOTT
Last Name:FRENCH
Suffix:
Gender:M
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9446
Mailing Address - Country:US
Mailing Address - Phone:901-227-3255
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:1190 N STATE ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-2413
Practice Address - Country:US
Practice Address - Phone:601-968-1377
Practice Address - Fax:601-292-4595
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR783174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00119082Medicaid
MS00119082Medicaid
MS753068151005OtherTRICARE
MSS51366Medicare UPIN