| NPI | 1518255322 |
|---|---|
| Other Name | JARVIS VENCIN DRAKE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804376) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2020-09-03 |