Provider Demographics
NPI:1134562622
Name:FRANKLIN, MELISSA (PNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S FM 51
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3781
Mailing Address - Country:US
Mailing Address - Phone:940-627-8044
Mailing Address - Fax:940-627-8055
Practice Address - Street 1:2401 S FM 51
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3781
Practice Address - Country:US
Practice Address - Phone:940-627-8044
Practice Address - Fax:940-627-8055
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX713305363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TXPENDINGOtherBCBSTX-AUGUST
TX323119305Medicaid
TX8KA092OtherBCBSTX-LOVETTE