Charlotte R Drake FNP

NPI 1548580509 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1548580509
Gender Female
Enumeration Date 06/01/2010
Last Updated 08/26/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
1264 WESLEY DR
SUITE 501
MEMPHIS TN, 38116-6400, US
Phone (901) 346-1800
Fax (901) 346-0043
Business Location
7163 GOODMAN RD
OLIVE BRANCH MS, 38654-1904, US
Phone (662) 895-3700
Fax (662) 627-3629
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R867991
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According to our database, Charlotte R Drake FNP NPI is 1548580509, taxonomy code is 363LF0000X and license number is R867991, license state is located at Mississippi. Charlotte R Drake FNP physically located at 1264 Wesley Dr, Memphis TN, 38116-6400. NPI Number Charlotte R Drake FNP has the Individual type.

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1548580509 NPI number is provided on an as is basis without warranty of any kind. 1548580509 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotte R Drake FNP are for informational purposes only.