MEDICARE: MS. JENNIFER CHRISTINE DRAKE ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP3006226	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215039854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER CHRISTINE DRAKE ARNP

Provider Business Mailing Address
First Line	:	1600 E OLIVE ST
Second Line	:	SOUND MENTAL HEALTH
City	:	SEATTLE
State	:	WA
Zip	:	98122-2735
Country	:	US
Telephone Number	:	206-302-2200
Fax Number	:	206-302-2210

Provider Business Practice Location Address
First Line	:	4240 AUBURN WAY N
Second Line	:	SOUND MENTAL HEALTH
City	:	AUBURN
State	:	WA
Zip	:	98002-1311
Country	:	US
Telephone Number	:	253-876-8900
Fax Number	:	253-876-8910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	07/11/2023

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