Healthcare Provider Details

I. General information

NPI: 1053339309
Provider Name (Legal Business Name): VERNON FRANCIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 01/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 RIVERVIEW AVENUE SUITE 500
NORFOLK VA
23510-1064
US

IV. Provider business mailing address

301 RIVERVIEW AVENUE SUITE 500
NORFOLK VA
23510-1064
US

V. Phone/Fax

Practice location:
  • Phone: 757-624-1785
  • Fax: 757-624-1759
Mailing address:
  • Phone: 757-624-1785
  • Fax: 757-624-1759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number101034372
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number101034372
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: