Individual
JESSICA ELIZABETH DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1711 N 6TH 1/2 ST, TERRE HAUTE, IN 47804-2700
(812) 238-7504
Mailing address
1711 N 6TH 1/2 ST, TERRE HAUTE, IN 47804-2700
(812) 238-7504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011804A
IN
Other
Enumeration date
11/03/2021
Last updated
11/17/2021
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