Healthcare Provider Details

I. General information

NPI: 1285237305
Provider Name (Legal Business Name): LAUREN S FRANKS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 N HIGHWAY 7
SPARKMAN AR
71763-8749
US

IV. Provider business mailing address

1238 N HIGHWAY 7
SPARKMAN AR
71763-8749
US

V. Phone/Fax

Practice location:
  • Phone: 870-678-3326
  • Fax:
Mailing address:
  • Phone: 870-678-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number212979
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: