Healthcare Provider Details

I. General information

NPI: 1558084020
Provider Name (Legal Business Name): BRANDY RENEE FRANKLIN APRN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3757 DICKSONIA DR
LEXINGTON KY
40517-1906
US

IV. Provider business mailing address

3757 DICKSONIA DR
LEXINGTON KY
40517-1906
US

V. Phone/Fax

Practice location:
  • Phone: 859-577-9873
  • Fax: 859-215-1749
Mailing address:
  • Phone: 859-577-9873
  • Fax: 859-215-1749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3018340
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: