Basic Information
Provider Information
NPI: 1033557442
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: JORDANNA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 E ARIZONA AVE
Address2: ROLLING PLAINS MEMORIAL RURAL HEALTH CLINIC
City: SWEETWATER
State: TX
PostalCode: 795567119
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 201 E ARIZONA AVE
Address2: ROLLING PLAINS MEMORIAL RURAL HEALTH CLINIC
City: SWEETWATER
State: TX
PostalCode: 795567119
CountryCode: US
TelephoneNumber: 3252358641
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/06/2013
LastUpdateDate: 12/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XQ8885TXY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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