Individual
DR. JENNIFER LYNN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, NP-C
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4000
Mailing address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018049
PA
Other
Enumeration date
01/19/2018
Last updated
03/24/2020
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