MEDICARE: SHERRY FRANKLIN ANP-BC

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
1	363LA2200X	Adult Health Nurse Practitioner	209012205	IL
2	363LA2200X	Adult Health Nurse Practitioner	2014035975	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1528457306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY FRANKLIN ANP-BC

Provider Business Mailing Address
First Line	:	2120 MADISON AVE STE 101
Second Line	:
City	:	GRANITE CITY
State	:	IL
Zip	:	62040-4746
Country	:	US
Telephone Number	:	618-876-8214
Fax Number	:	618-451-9111

Provider Business Practice Location Address
First Line	:	11155 DUNN RD STE 304E
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6111
Country	:	US
Telephone Number	:	314-741-0911
Fax Number	:	314-741-0501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2015
Last Update Date	:	12/06/2021

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Directions to “ SHERRY FRANKLIN ANP-BC” Practice Location

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