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NPI Code Detail

MEDICARE: JESSICA DRANE DNP FNPC AGACNPBC

MEDICARE:   JESSICA  DRANE  DNP FNPC AGACNPBC
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
1163W00000XRegistered Nurse817616TX
2363L00000XNurse PractitionerAP133033TX
3363L00000XNurse Practitioner71391NM
4207R00000XInternal Medicine Physician71391NM

General Provider Information

NPI Number : 1912443193
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DRANE DNP FNPC AGACNPBC
Provider Business Mailing Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2211 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-2719
Country : US
Telephone Number : 505-272-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2017
Last Update Date : 01/27/2026

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Directions to “ JESSICA DRANE DNP FNPC AGACNPBC” Practice Location

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