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Individual

JEANETTE DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, APRN,BC

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 448-3156
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 448-3156

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN0017175
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP30007790
WA

Other

Enumeration date
12/12/2007
Last updated
03/24/2008
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