Provider Demographics
NPI:1306270640
Name:FRANCIS, MANDY (DNP)
Entity type:Individual
Prefix:MS
First Name:MANDY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 CRESTOVER LN
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6791
Mailing Address - Country:US
Mailing Address - Phone:586-203-7425
Mailing Address - Fax:813-333-0453
Practice Address - Street 1:2014 ASHLEY OAKS CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6400
Practice Address - Country:US
Practice Address - Phone:813-999-3030
Practice Address - Fax:813-333-0453
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9382473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013040900Medicaid
FL013040900Medicaid
FLHW893Y - TAMPAMedicare PIN