Individual
PENNE PERRY DRAKE
Active
Individual
PENNE PERRY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024174843
VA
363L00000X
Nurse Practitioner
17921
TN
363LP0200X
Pediatric Nurse Practitioner
17921
TN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APRN11006288
FL
Other
Enumeration date
09/04/2013
Last updated
01/04/2024
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