Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5006154 | NC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5006154 | NC |
NPI | 1073958013 |
---|---|
Provider Name | Mrs. Tiffany R Franklin |
First Address | Charlotte, NC 28260-0447 |
Second Address | Charlotte, NC 28204-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2013 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP2405 | (05) | SC |