Provider Demographics
NPI:1285012682
Name:FRANKLIN, CAROLYN JURNIA
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:JURNIA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7188 BEVERLY GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4206
Mailing Address - Country:US
Mailing Address - Phone:702-419-6000
Mailing Address - Fax:
Practice Address - Street 1:7188 BEVERLY GLEN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-4206
Practice Address - Country:US
Practice Address - Phone:702-419-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health