Provider Demographics
NPI:1720405293
Name:FRANKLIN, VERNAE JOY (RN)
Entity Type:Individual
Prefix:MISS
First Name:VERNAE
Middle Name:JOY
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25830 VILLAGE GREEN BLVD APT 211
Mailing Address - Street 2:
Mailing Address - City:HARRISON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-3037
Mailing Address - Country:US
Mailing Address - Phone:313-948-8737
Mailing Address - Fax:
Practice Address - Street 1:25830 VILLAGE GREEN BLVD APT 211
Practice Address - Street 2:
Practice Address - City:HARRISON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48045-3037
Practice Address - Country:US
Practice Address - Phone:313-948-8737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-23
Last Update Date:2014-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704297586163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse