Provider Demographics
NPI:1508452384
Name:FRANCIS, JIMI (PHD, RDN, IBCLC)
Entity type:Individual
Prefix:DR
First Name:JIMI
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHD, RDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9110 N LOOP 1604 W STE 104-55
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3232
Mailing Address - Country:US
Mailing Address - Phone:210-505-2915
Mailing Address - Fax:
Practice Address - Street 1:11843 STANTON DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6075
Practice Address - Country:US
Practice Address - Phone:210-505-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-14118174N00000X
TXDT83304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDT83304OtherCOMMISION ON DIETETICS REGISTRATION
L-14118OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE)