Healthcare Provider Details

I. General information

NPI: 1669381760
Provider Name (Legal Business Name): IRON EDGE HEALTH NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

3130 BALFOUR RD STE D #249
BRENTWOOD CA
94513-5516
US

V. Phone/Fax

Practice location:
  • Phone: 925-559-0558
  • Fax: 743-244-2879
Mailing address:
  • Phone: 925-559-0558
  • Fax: 743-244-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEIDRA LAVERNE FRANCIS-LOFTON
Title or Position: PRESIDENT
Credential: FNP-C
Phone: 925-559-0558