Provider Demographics
NPI:1255651253
Name:DRABKIN, JESSICA R (RN)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:R
Last Name:DRABKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MONTANO RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-2460
Mailing Address - Country:US
Mailing Address - Phone:860-265-2601
Mailing Address - Fax:
Practice Address - Street 1:5 MONTANO RD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-2460
Practice Address - Country:US
Practice Address - Phone:860-265-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT075947163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse