Provider Demographics
NPI:1144549056
Name:FRANCIS, CAROL S (LPN)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:44047-1330
Mailing Address - Country:US
Mailing Address - Phone:440-624-4091
Mailing Address - Fax:
Practice Address - Street 1:133 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047-1330
Practice Address - Country:US
Practice Address - Phone:440-624-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN116436 IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse