Individual
JENNIFER M DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
131 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 360-4564
(704) 360-4553
Mailing address
249 WILLIAMSON RD, SUITE 101, MOORESVILLE, NC 28117-8195
(704) 360-4564
(704) 360-4553
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004397
NC
Other
Enumeration date
07/23/2009
Last updated
02/13/2018
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