Provider Demographics
NPI:1982356531
Name:FRANKLIN, TAMMARA (LVN)
Entity Type:Individual
Prefix:
First Name:TAMMARA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:TAMMARA
Other - Middle Name:
Other - Last Name:ASHTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:104 CREEK SIDE CT
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-5401
Mailing Address - Country:US
Mailing Address - Phone:940-453-3314
Mailing Address - Fax:
Practice Address - Street 1:104 CREEK SIDE CT
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-5401
Practice Address - Country:US
Practice Address - Phone:940-453-3314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233609164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse