Provider Demographics
NPI:1700877453
Name:DRAUD, JON W (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:W
Last Name:DRAUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2010 CHURCH ST
Mailing Address - Street 2:SUITE 513
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2012
Mailing Address - Country:US
Mailing Address - Phone:615-284-3850
Mailing Address - Fax:615-284-4350
Practice Address - Street 1:1916 PATTERSON ST 715
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2118
Practice Address - Country:US
Practice Address - Phone:615-481-6479
Practice Address - Fax:615-321-1003
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD237852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3072395Medicare ID - Type Unspecified
TNF46793Medicare UPIN