Healthcare Provider Details
I. General information
NPI: 1902428386
Provider Name (Legal Business Name): SYNTHIA LYNNETTE FRANK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/08/2020
Last Update Date: 11/15/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 S MAIN ST
BROWNSVILLE KY
42210-9001
US
IV. Provider business mailing address
210 S MAIN ST
BROWNSVILLE KY
42210-9001
US
V. Phone/Fax
- Phone: 270-975-4050
- Fax: 866-809-8145
- Phone: 270-975-4050
- Fax: 866-809-8145
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 1067900 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 3014933 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 3014933 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: