Provider Demographics
NPI:1609949338
Name:FRANKLIN, JOANN (DNP,RN,FNP-BC,GNP-BC)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DNP,RN,FNP-BC,GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 NESBIT DR STE D
Mailing Address - Street 2:
Mailing Address - City:BONNE TERRE
Mailing Address - State:MO
Mailing Address - Zip Code:63628-1347
Mailing Address - Country:US
Mailing Address - Phone:573-358-1700
Mailing Address - Fax:573-358-1702
Practice Address - Street 1:60 NESBIT DR STE D
Practice Address - Street 2:
Practice Address - City:BONNE TERRE
Practice Address - State:MO
Practice Address - Zip Code:63628-1347
Practice Address - Country:US
Practice Address - Phone:573-358-1700
Practice Address - Fax:573-358-1702
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO061679363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO428004634Medicaid
MO803401810Medicare PIN
MO428004634Medicaid