Provider Demographics
NPI:1588924880
Name:FRANKLIN, JAMILLAH MOHAMED
Entity type:Individual
Prefix:
First Name:JAMILLAH
Middle Name:MOHAMED
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMILLAH
Other - Middle Name:MOHAMED
Other - Last Name:KINGWANDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2047 YORKHULL LN APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3843
Mailing Address - Country:US
Mailing Address - Phone:614-556-1277
Mailing Address - Fax:
Practice Address - Street 1:2047 YORKHULL LN APT C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3843
Practice Address - Country:US
Practice Address - Phone:614-556-1277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN377435163W00000X
TXRN377435363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse