Provider Demographics
NPI:1235704826
Name:FRANKS, JAMIE LEIGH EDMISTON (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEIGH EDMISTON
Last Name:FRANKS
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEIGH
Other - Last Name:EDMISTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3935 WOOD TRCE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-2266
Mailing Address - Country:US
Mailing Address - Phone:270-240-4179
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTHTOWN BLVD STE 2A
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-7753
Practice Address - Country:US
Practice Address - Phone:270-240-4179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015594363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care