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NPI Code Detail

MEDICARE: AMANDA ELLEN FRANKLIN FNP-C

MEDICARE: AMANDA ELLEN FRANKLIN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71003554AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1783687OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104124163
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ELLEN FRANKLIN FNP-C
Provider Business Mailing Address
First Line : 528 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1402
Country : US
Telephone Number : 812-882-4434
Fax Number : 812-885-6318
Provider Business Practice Location Address
First Line : 528 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1402
Country : US
Telephone Number : 812-882-4434
Fax Number : 812-885-6318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2011
Last Update Date : 09/03/2019

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Directions to “ AMANDA ELLEN FRANKLIN FNP-C” Practice Location

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