Provider Demographics
NPI:1306059720
Name:FRANKLIN, MONICA SHARISE (RN)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:SHARISE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 VERNON DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-5714
Mailing Address - Country:US
Mailing Address - Phone:937-626-3778
Mailing Address - Fax:937-401-9369
Practice Address - Street 1:1224 VERNON DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-5714
Practice Address - Country:US
Practice Address - Phone:937-626-3778
Practice Address - Fax:937-401-9369
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 281306163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI2708752Medicaid