Healthcare Provider Details

I. General information

NPI: 1407361405
Provider Name (Legal Business Name): BRENDA GAIL FRANCIS DNP PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 GHOST OWL LN
SEQUIM WA
98382-5509
US

IV. Provider business mailing address

84 GHOST OWL LN
SEQUIM WA
98382-5509
US

V. Phone/Fax

Practice location:
  • Phone: 920-296-5104
  • Fax:
Mailing address:
  • Phone: 360-928-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70015976
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number125780
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: