Provider Demographics
NPI:1033176342
Name:FRANK, JAYME LYNN (NP)
Entity Type:Individual
Prefix:
First Name:JAYME
Middle Name:LYNN
Last Name:FRANK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WALLINGFORD CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1033
Mailing Address - Country:US
Mailing Address - Phone:608-576-3612
Mailing Address - Fax:
Practice Address - Street 1:5 WALLINGFORD CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1033
Practice Address - Country:US
Practice Address - Phone:608-576-3612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1730363LP0200X
WI78406363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics