Individual
ELIZABETH ANNE LADD DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 UNIVERSITY DR, JACKSON, MS 39216
(601) 984-5678
Mailing address
7048 OLD CANTON RD STE 220, RIDGELAND, MS 39157-1021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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