Provider Demographics
NPI:1871208504
Name:FRANCO, INGRID LISSETTE (DNP, RN, APN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:INGRID
Middle Name:LISSETTE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:DNP, RN, APN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:11 OVERLOOK RD STE LL101
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3577
Practice Address - Country:US
Practice Address - Phone:908-522-5900
Practice Address - Fax:908-522-5544
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2024-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01426200363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily