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NPI Code Detail

MEDICARE: MR. PATRICK SHAWN DRUMMOND APRN

MEDICARE:  MR. PATRICK SHAWN DRUMMOND  APRN
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
1363LA2200XAdult Health Nurse Practitioner012766TN

General Provider Information

NPI Number : 1295936821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK SHAWN DRUMMOND APRN
Provider Business Mailing Address
First Line : 12330 OIL FIELD LN
Second Line :
City : ARLINGTON
State : TN
Zip : 38002-8776
Country : US
Telephone Number : 901-628-6703
Fax Number :
Provider Business Practice Location Address
First Line : 2245 S LAUDERDALE ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38106-7517
Country : US
Telephone Number : 901-948-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 02/11/2025

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