Individual
SHAVON DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1936 MAPLE AVE, CHERRY HILL, NJ 08002-1219
(267) 972-7293
Mailing address
1936 MAPLE AVE, CHERRY HILL, NJ 08002-1219
(267) 972-7293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG10230100
PA
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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