MEDICARE: DR. JENNIFER ANN FRANCHUK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	MD152137	OR
2	208D00000X	General Practice Physician	137951	CA

General Provider Information

NPI Number	:	1639446099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ANN FRANCHUK M.D.

Provider Business Mailing Address
First Line	:	29632 HWY 299 EAST
Second Line	:
City	:	ROUND MOUNTAIN
State	:	CA
Zip	:	96084
Country	:	US
Telephone Number	:	855-999-9355
Fax Number	:	530-337-6655

Provider Business Practice Location Address
First Line	:	29632 HWY 299 EAST
Second Line	:
City	:	ROUND MOUNTAIN
State	:	CA
Zip	:	96084
Country	:	US
Telephone Number	:	530-337-5750
Fax Number	:	530-337-6655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	02/22/2019

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