Provider Demographics
NPI:1659716322
Name:DRAKE, ASHLEE MAE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:MAE
Last Name:DRAKE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:ASHLEE
Other - Middle Name:MAE
Other - Last Name:DRAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:440 COUNTY ROAD 295
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35057-4092
Mailing Address - Country:US
Mailing Address - Phone:256-590-7088
Mailing Address - Fax:
Practice Address - Street 1:615 MYNATT STREET
Practice Address - Street 2:SUITE E
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640
Practice Address - Country:US
Practice Address - Phone:256-773-2979
Practice Address - Fax:256-773-2986
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-097676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily