Individual
REBECCA JEAN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8146
Mailing address
5167 S FERDON BLVD, CRESTVIEW, FL 32536-9267
(850) 331-8217
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9289287
FL
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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