Basic Information
| Provider Information | |||||||||
| NPI: | 1891225025 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRAKE | ||||||||
| FirstName: | SHERRI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 899 | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 714180899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3186496111 | ||||||||
| FaxNumber: | 3186495094 | ||||||||
| Practice Location | |||||||||
| Address1: | 3286 OAK ST | ||||||||
| Address2: | |||||||||
| City: | WISNER | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187246789 | ||||||||
| FaxNumber: | 3187246788 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2017 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP09345 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.