Healthcare Provider Details

I. General information

NPI: 1447822341
Provider Name (Legal Business Name): TOMEKA N FRANKLIN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 GAINSBOROUGH SQ STE 300
CHESAPEAKE VA
23320-1714
US

IV. Provider business mailing address

113 GAINSBOROUGH SQ STE 300
CHESAPEAKE VA
23320-1714
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-9286
  • Fax:
Mailing address:
  • Phone: 757-547-9286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024188490
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR245519
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: