Provider Demographics
NPI:1295936821
Name:DRUMMOND, PATRICK SHAWN (APRN)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:SHAWN
Last Name:DRUMMOND
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12330 OIL FIELD LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8776
Mailing Address - Country:US
Mailing Address - Phone:901-628-6703
Mailing Address - Fax:
Practice Address - Street 1:2245 S LAUDERDALE ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38106-7517
Practice Address - Country:US
Practice Address - Phone:901-948-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN012766363LA2200X
MO2007030725364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health