MATTHEW LEWIS DRAPER FNP-C RN AT ATC NPI 1184991234

NPI Information

NPI: 1184991234
Provider Name: MATTHEW LEWIS DRAPER, FNP-C, RN, AT, ATC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
956 COOPER ST
JACKSON, MI
ZIP 49202
Phone: (517) 998-6574
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Matthew Lewis Draper, FNP-C, RN, AT, ATC is a family nurse practitioner in Jackson, MI with 3 years of experience. Matthew Lewis Draper, FNP-C, RN, AT, ATC NPI is 1184991234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

956 COOPER ST
JACKSON, MI
ZIP 49202-398
Phone: (517) 998-6574

The NPI 1184991234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2011 and was last updated on 3/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	4704318832	MICHIGAN	No
2	2255A2300X	Specialist/Technologist	Athletic Trainer	2601000140	MICHIGAN	No
3	363LF0000X	Nurse Practitioner	Family	4704318832	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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