Individual
BENJAMIN D FRANCISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-6921
(573) 884-3991
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN114307
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
114307
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131721
BLUE SHIELD/BLUE CHOICE
MO
05
—
425188109
—
MO
01
—
4287202301
KANSAS MEDICAID
KS
01
—
446030
HEALTHLINK
MO
01
—
500015458
RR MEDICARE
MO
Enumeration date
06/01/2006
Last updated
09/14/2022
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