Individual
JACQUELINE YVONNE DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
(901) 682-6828
Mailing address
1068 CRESTHAVEN RD STE 150, MEMPHIS, TN 38119-3859
(901) 682-6828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD028347
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3804836
—
TN
01
—
4014612
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/22/2006
Last updated
01/29/2015
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