Healthcare Provider Details

I. General information

NPI: 1306382189
Provider Name (Legal Business Name): BARBARA JOY FRENCH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BELLE AVE APT 5
SAN ANSELMO CA
94960-2826
US

IV. Provider business mailing address

21 BELLE AVE APT 5
SAN ANSELMO CA
94960-2826
US

V. Phone/Fax

Practice location:
  • Phone: 707-349-5517
  • Fax:
Mailing address:
  • Phone: 707-349-5517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 377752
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 76840
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17600
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN 1731
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: