Healthcare Provider Details

I. General information

NPI: 1336315480
Provider Name (Legal Business Name): JONNA NICOLE FRANKLIN RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 STANFORD DR
FARMINGTON CT
06032-2454
US

IV. Provider business mailing address

40 STANFORD DR
FARMINGTON CT
06032-2454
US

V. Phone/Fax

Practice location:
  • Phone: 860-640-4455
  • Fax:
Mailing address:
  • Phone: 860-840-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1608
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number010038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: