Provider Demographics
NPI:1356498331
Name:FRANKLIN, TAMMIE DEE (FNP)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:DEE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAMMIE
Other - Middle Name:DEE
Other - Last Name:PORTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4327 BARNETT RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-2303
Mailing Address - Country:US
Mailing Address - Phone:940-766-1265
Mailing Address - Fax:940-767-9301
Practice Address - Street 1:4327 BARNETT RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-2303
Practice Address - Country:US
Practice Address - Phone:940-322-6953
Practice Address - Fax:940-767-9301
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX704037363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner