Jerry Dwain Drinkard II, FNP

Individual provider Active NPI Family Nurse Practitioner · Molino, FL

NPI 1013563337 · NPPES record last updated Aug 13, 2019

Key facts

NPI
1013563337
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
11002810 (FL)
Practice address
1101 Highway 196
Molino, FL 32577-5258
Phone
(251) 295-3777
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11002810FLMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11002810 FL Yes

Addresses

Primary practice location

1101 Highway 196
Molino, FL 32577-5258

Mailing address

1101 Highway 196
Molino, FL 32577-5258
Phone (251) 295-3777

Other providers in Molino, FL

All providers in Molino, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.