Provider Demographics
NPI:1083200489
Name:FRANKLIN, ELLIE KATHRYN (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELLIE
Middle Name:KATHRYN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:ELLIE
Other - Middle Name:KATHRYN
Other - Last Name:FARRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3593
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36868-3593
Mailing Address - Country:US
Mailing Address - Phone:334-614-3353
Mailing Address - Fax:
Practice Address - Street 1:1831 5TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8915
Practice Address - Country:US
Practice Address - Phone:706-320-8780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN240005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily