Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 1730 | WI |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 78406 | WI |
NPI | 1033176342 |
---|---|
Provider Name | Jayme Lynn Frank |
First Address | Madison, WI 53717-1033 |
Second Address | Madison, WI 53717-1033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 19/06/2020 |