MEDICARE: ROBERT SCOTT FRENCH CFNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R783174	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295704989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT SCOTT FRENCH CFNP

Provider Business Mailing Address
First Line	:	965 RIDGE LAKE BLVD STE 103
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9446
Country	:	US
Telephone Number	:	901-227-3255
Fax Number	:	901-227-8591

Provider Business Practice Location Address
First Line	:	1190 N STATE ST
Second Line	:	LOWER LEVEL
City	:	JACKSON
State	:	MS
Zip	:	39202-2413
Country	:	US
Telephone Number	:	601-968-1377
Fax Number	:	601-292-4595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	10/09/2023

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