Jeremiah Drake

NPI #1720758444 in Madison, Tennessee

Provider Information

NPI Number: 1720758444
Entity Type: Individual
Name: Jeremiah Drake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 315 HOSPITAL DR
City: Madison
State: Tennessee
ZIP Code: 37115-5030
Phone: (419) 494-6057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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