Provider Demographics
NPI:1952653222
Name:FRANKLIN, JO ANN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:JO
Middle Name:ANN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 BRIDLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-8525
Mailing Address - Country:US
Mailing Address - Phone:757-567-6519
Mailing Address - Fax:757-467-2524
Practice Address - Street 1:1603 BRIDLE CREEK CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-8525
Practice Address - Country:US
Practice Address - Phone:757-567-6519
Practice Address - Fax:757-467-2524
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002044959164W00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No347C00000XTransportation ServicesPrivate Vehicle