Provider Demographics
NPI:1801975495
Name:GEMMILL, FRANCINE BLAIN (MS RN CS)
Entity type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:BLAIN
Last Name:GEMMILL
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Gender:F
Credentials:MS RN CS
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Mailing Address - Street 1:228 S WASHINGTON ST
Mailing Address - Street 2:#220
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5404
Mailing Address - Country:US
Mailing Address - Phone:703-739-6746
Mailing Address - Fax:703-739-7762
Practice Address - Street 1:228 S WASHINGTON ST
Practice Address - Street 2:#220
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314
Practice Address - Country:US
Practice Address - Phone:703-739-6746
Practice Address - Fax:703-739-7762
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2014-03-05
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Provider Licenses
StateLicense IDTaxonomies
VA0015000539364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
006992M92Medicare ID - Type Unspecified
P60493Medicare UPIN