Individual
ISSAC JOHNATHON FRANCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA,MSN
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3241
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193322
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
085566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053914
—
NC
Enumeration date
08/24/2010
Last updated
04/11/2011
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