Individual
JACQUELINE TESSA DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
827 AMERICAN LEGION HWY, WESTPORT, MA 02790-4128
(508) 636-5101
(508) 636-3651
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
260596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110118491A
—
MA
Enumeration date
06/12/2014
Last updated
10/18/2024
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