Provider Demographics
NPI:1356681381
Name:FRANKLIN, VIVIAN RACHEL (APRN, CWOCN, CFCN)
Entity Type:Individual
Prefix:MRS
First Name:VIVIAN
Middle Name:RACHEL
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:APRN, CWOCN, CFCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 S L ROGERS WELLS BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-3454
Mailing Address - Country:US
Mailing Address - Phone:270-590-1259
Mailing Address - Fax:
Practice Address - Street 1:507 S L ROGERS WELLS BLVD STE D
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1043
Practice Address - Country:US
Practice Address - Phone:270-590-1259
Practice Address - Fax:270-629-2278
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007933363L00000X, 363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100254770Medicaid
KYK184431OtherMEDICARE
KY000000828957OtherANTHEM