Provider Demographics
NPI:1417617168
Name:LETCHWORTH, FRANKIE JONES (FNP)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:JONES
Last Name:LETCHWORTH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6688 BEAMAN OLD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WALSTONBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27888-9502
Mailing Address - Country:US
Mailing Address - Phone:252-717-9090
Mailing Address - Fax:
Practice Address - Street 1:324 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4932
Practice Address - Country:US
Practice Address - Phone:522-522-9800
Practice Address - Fax:252-523-9790
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF12210012363LF0000X
NC5016419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily