Healthcare Provider Details

I. General information

NPI: 1467004127
Provider Name (Legal Business Name): EDDRICKA FLEMING FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5884 BENSON DR
BATON ROUGE LA
70812-2605
US

IV. Provider business mailing address

5884 BENSON DR
BATON ROUGE LA
70812-2605
US

V. Phone/Fax

Practice location:
  • Phone: 225-241-4544
  • Fax:
Mailing address:
  • Phone: 225-241-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number207050
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number207050
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: