Provider Demographics
NPI:1083785588
Name:BRANDI J FRANKS
Entity Type:Organization
Organization Name:BRANDI J FRANKS
Other - Org Name:ROSEMARK FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLAKEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-837-7785
Mailing Address - Street 1:1984 ROSEMARK RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004-7843
Mailing Address - Country:US
Mailing Address - Phone:901-837-7785
Mailing Address - Fax:901-837-7786
Practice Address - Street 1:1984 ROSEMARK RD
Practice Address - Street 2:SUITE E
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004-7843
Practice Address - Country:US
Practice Address - Phone:901-837-7785
Practice Address - Fax:901-837-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty