Healthcare Provider Details

I. General information

NPI: 1518325463
Provider Name (Legal Business Name): JOHN FRANKLIN SAMPLES FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2016
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 MEDICAL CENTER DR
COPPERHILL TN
37317-5005
US

IV. Provider business mailing address

PO BOX 1162
COPPERHILL TN
37317-1162
US

V. Phone/Fax

Practice location:
  • Phone: 423-496-9214
  • Fax: 423-496-7809
Mailing address:
  • Phone: 423-496-9214
  • Fax: 423-496-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000020290
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20920
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: