Individual
MARY-JO DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
704 HWY 70 E, DICKSON, TN 37055-2111
(615) 441-4504
(615) 620-2323
Mailing address
PO BOX 291264, NASHVILLE, TN 37229-1264
(615) 620-2330
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN167485
TN
367500000X
Certified Registered Nurse Anesthetist
002039
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13743
TN
Other
Enumeration date
03/20/2006
Last updated
10/08/2010
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