Provider Demographics
NPI:1619591542
Name:FRANKS, KRISTY S (FNP)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:S
Last Name:FRANKS
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 1:2803 COBB STUMP RD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MS
Mailing Address - Zip Code:38843-7391
Mailing Address - Country:US
Mailing Address - Phone:662-610-3660
Mailing Address - Fax:
Practice Address - Street 1:2803 COBB STUMP RD
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MS
Practice Address - Zip Code:38843-7391
Practice Address - Country:US
Practice Address - Phone:662-610-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-06
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903956363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS903956OtherNURSE PRACTITIONER LICENSE