Provider Demographics
NPI:1699781765
Name:FRANS, ZANDRA DAWN (NP)
Entity type:Individual
Prefix:MRS
First Name:ZANDRA
Middle Name:DAWN
Last Name:FRANS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ZANDRA
Other - Middle Name:
Other - Last Name:FRANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:620 CROSSOVER RD
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4944
Mailing Address - Country:US
Mailing Address - Phone:662-620-7100
Mailing Address - Fax:662-620-7110
Practice Address - Street 1:891 MISSISSIPPI DR
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-0934
Practice Address - Country:US
Practice Address - Phone:662-620-7111
Practice Address - Fax:662-377-7954
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR782021363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS120559Medicaid