Healthcare Provider Details

I. General information

NPI: 1952859811
Provider Name (Legal Business Name): FRANCES LIGHTFOOT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCES LIGHTFOOT

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 RIVERFORK DR
HUNTINGTON IN
46750-9004
US

IV. Provider business mailing address

1850 RIVERFORK DR
HUNTINGTON IN
46750-9004
US

V. Phone/Fax

Practice location:
  • Phone: 260-200-1311
  • Fax:
Mailing address:
  • Phone: 260-200-1311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71006803A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: