Provider Demographics
NPI:1922795962
Name:FRANKLIN, KA'RYN NICOLE (NP)
Entity Type:Individual
Prefix:
First Name:KA'RYN
Middle Name:NICOLE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 STANWELL AVE
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3774
Mailing Address - Country:US
Mailing Address - Phone:337-561-3942
Mailing Address - Fax:
Practice Address - Street 1:1402 W 8TH ST
Practice Address - Street 2:
Practice Address - City:KAPLAN
Practice Address - State:LA
Practice Address - Zip Code:70548-2918
Practice Address - Country:US
Practice Address - Phone:337-285-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227158363L00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner