Provider Demographics
NPI:1295063956
Name:MCPHERSON, FRAN (NP-C)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-5026
Mailing Address - Country:US
Mailing Address - Phone:229-815-0482
Mailing Address - Fax:229-387-0132
Practice Address - Street 1:2201 RUTLAND RD
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31793-5026
Practice Address - Country:US
Practice Address - Phone:229-815-0482
Practice Address - Fax:229-387-0132
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN112980-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily