Provider Demographics
NPI:1710188461
Name:HADDOCK, FRANKIE (WHCNP)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:HADDOCK
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 RIDGECREST #109
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6015
Mailing Address - Country:US
Mailing Address - Phone:903-455-9582
Mailing Address - Fax:903-455-5689
Practice Address - Street 1:4221 RIDGECREST RD STE 109
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6015
Practice Address - Country:US
Practice Address - Phone:903-455-9582
Practice Address - Fax:903-455-5689
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX634207363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health