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Organization
DRAKE'S MOBILE HEALTH SERVICES.LLC
Active
Organization
DRAKE'S MOBILE HEALTH SERVICES.LLC
Active
Parent organization
DRAKE'S MOBILE HEALTH SERVICES.LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRAKE'S MOBILE HEALTH SERVICES.LLC
Authorized official
SHAKEISHA JARVIS-DRAKE NP (NURSE PRACTITIONER)
(410) 805-3781
Entity
Organization
Contact information
Practice address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(410) 805-3781
Mailing address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(410) 805-3781
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366800211
NPPES
MD
Enumeration date
06/15/2023
Last updated
09/09/2024
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