Franklin, Amanda Ellen

Franklin, Amanda Ellen is an individual health care provider with primary practice located at 528 N 1St St , Vincennes IN 47591-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Franklin, Amanda Ellen can be contacted via phone (812) 882-4434.

Contact Information

Primary practice address
528 N 1St St Vincennes IN 47591-1402
Phone: (812) 882-4434
Fax: (812) 885-6318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003554A Indiana

Profile Details

NPI number 1104124163
LBN Legal business name Franklin, Amanda Ellen
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2011
Last updated Sep 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104124163 NPPES
Indiana Other 783687 ANTHEM
Indiana MEDICAID 201012590 ANTHEM

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