Individual
JILL SUZANNE FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
(682) 885-7497
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
661737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218117401
—
TX
01
—
218117402
CSHCN
TX
Enumeration date
12/28/2010
Last updated
10/19/2018
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