Provider Demographics
NPI:1609498617
Name:HOWARD-FRANKLIN, DANITA YVETTE (LPN BS MPH)
Entity Type:Individual
Prefix:
First Name:DANITA
Middle Name:YVETTE
Last Name:HOWARD-FRANKLIN
Suffix:
Gender:F
Credentials:LPN BS MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5485 HEARN RD
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-3240
Mailing Address - Country:US
Mailing Address - Phone:678-600-6968
Mailing Address - Fax:470-514-5350
Practice Address - Street 1:5485 HEARN RD
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-3240
Practice Address - Country:US
Practice Address - Phone:678-600-6968
Practice Address - Fax:470-514-5350
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN065023164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse