Provider Demographics
NPI:1720180979
Name:FRANKS, JOY Y (CFNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:Y
Last Name:FRANKS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:Y
Other - Last Name:LODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:470 NICHOLS RD NW
Mailing Address - Street 2:
Mailing Address - City:MANTACHIE
Mailing Address - State:MS
Mailing Address - Zip Code:38855-9200
Mailing Address - Country:US
Mailing Address - Phone:662-871-5127
Mailing Address - Fax:
Practice Address - Street 1:285 IVIE LN
Practice Address - Street 2:
Practice Address - City:MANTACHIE
Practice Address - State:MS
Practice Address - Zip Code:38855-9764
Practice Address - Country:US
Practice Address - Phone:662-282-4197
Practice Address - Fax:662-282-5121
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR857240363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02324272Medicaid
MS09016148Medicaid
MS09016148Medicaid
MS02324272Medicaid