Provider Demographics
NPI:1073537999
Name:FRANKLIN JACKSON, WENDY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ANN
Last Name:FRANKLIN JACKSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:ANN
Other - Last Name:FRANKLIN-BERNARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:SINAI HOSPITAL - PEDIATRIC EMERGENCY ROOM
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-8833
Mailing Address - Fax:410-601-8868
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:SINAI HOSPITAL - PEDIATRIC EMERGENCY ROOM
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-8833
Practice Address - Fax:410-601-8868
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063006207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD23-9202000Medicaid
MD23-9202000Medicaid