Provider Demographics
NPI:1972847838
Name:FRANKLIN, DASHAUNA JORDAN (ANP-BC)
Entity Type:Individual
Prefix:
First Name:DASHAUNA
Middle Name:JORDAN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:DASHAUNA
Other - Middle Name:NICOLE
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4507 PERIWINKLE DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3881
Mailing Address - Country:US
Mailing Address - Phone:318-290-0026
Mailing Address - Fax:
Practice Address - Street 1:3001 SAINT LYNDA DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4857
Practice Address - Country:US
Practice Address - Phone:817-687-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX765382363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health