Provider Demographics
NPI:1710963756
Name:FRANKLIN, AMY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8684
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36304-0684
Mailing Address - Country:US
Mailing Address - Phone:334-699-2229
Mailing Address - Fax:334-699-4084
Practice Address - Street 1:137 CLINIC DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-1992
Practice Address - Country:US
Practice Address - Phone:334-699-2229
Practice Address - Fax:334-699-4084
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-077723363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
51590097OtherBLUE CROSS OF ALABAMA
51590097OtherBLUE CROSS OF ALABAMA