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1104056167
JENNIFER M DRAKE
MOORESVILLE, NC
NPI
1104056167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5004397)
Enumeration Date
2009-07-23
Last Update Date
2018-02-13
Business Address
JENNIFER M DRAKE ANP-BC
131 WELTON WAY
MOORESVILLE, NC 28117-9163
Phone number: 704-360-4564
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Mailing Address
JENNIFER M DRAKE ANP-BC
249 WILLIAMSON RD SUITE 101
MOORESVILLE, NC 28117-8195
Phone number: 704-360-4564
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