Individual
SHAKEISHA JARVIS-DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(443) 651-4888
Mailing address
3700 COLUMBUS DR, BALTIMORE, MD 21215-6122
(443) 651-4888
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R194972
MD
Other
Enumeration date
02/07/2016
Last updated
06/06/2023
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