Healthcare Provider Details

I. General information

NPI: 1295490902
Provider Name (Legal Business Name): BRITTANY LYNN DRAEGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LYNN BALLEW

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CLAYTON STATE BLVD
MORROW GA
30260-1250
US

IV. Provider business mailing address

622 ISOM RD
SAN ANTONIO TX
78216-4464
US

V. Phone/Fax

Practice location:
  • Phone: 678-466-4000
  • Fax:
Mailing address:
  • Phone: 210-622-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1055996
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: