MEDICARE: JESSICA MARIA MAY FRANKLIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	0102206788	VA
2	207N00000X	Dermatology Physician	0102206788	VA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1235793407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIA MAY FRANKLIN DO

Provider Business Mailing Address
First Line	:	PSC 41 BOX 3834
Second Line	:
City	:	APO
State	:	AE
Zip	:	09464-0039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WILFORD HALL LOOP
Second Line	:
City	:	JBSA LACKLAND
State	:	TX
Zip	:	78236-5638
Country	:	US
Telephone Number	:	210-292-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	05/27/2026

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