Provider Demographics
NPI:1871482117
Name:FRANCES, JACQUELINE LAURA
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:LAURA
Last Name:FRANCES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 RUNAWAY BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637
Mailing Address - Country:US
Mailing Address - Phone:813-525-5156
Mailing Address - Fax:
Practice Address - Street 1:9456 RUNAWAY BREEZE DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34637
Practice Address - Country:US
Practice Address - Phone:813-525-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician