Provider Demographics
NPI:1366921611
Name:FRENCH, GENA KAY (LVM)
Entity type:Individual
Prefix:
First Name:GENA
Middle Name:KAY
Last Name:FRENCH
Suffix:
Gender:F
Credentials:LVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10824 US HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75657-8268
Mailing Address - Country:US
Mailing Address - Phone:903-930-4119
Mailing Address - Fax:
Practice Address - Street 1:10824 US HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:TX
Practice Address - Zip Code:75657-8268
Practice Address - Country:US
Practice Address - Phone:903-930-4119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX330664164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse