Provider Demographics
NPI:1396016713
Name:FRANKLIN, JADE (CRNA)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:402 PRAIRIE RUN
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-1170
Mailing Address - Country:US
Mailing Address - Phone:817-908-2917
Mailing Address - Fax:
Practice Address - Street 1:8330 STERLING ST
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2593
Practice Address - Country:US
Practice Address - Phone:855-677-8669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX789805367500000X
TX88961367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered