Provider Demographics
NPI:1700542974
Name:FRANCO, TINA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:
Last Name:FRANCO
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 1:879 TIDWELL RD
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:TN
Mailing Address - Zip Code:37029-5702
Mailing Address - Country:US
Mailing Address - Phone:615-630-8367
Mailing Address - Fax:
Practice Address - Street 1:2377 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062
Practice Address - Country:US
Practice Address - Phone:615-799-0101
Practice Address - Fax:615-266-2945
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30683207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine