Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer M Drake, ANP-BC

Individual provider Nurse Practitioner · NPI 1104056167

Jennifer M Drake, ANP-BC is a Nurse Practitioner in Mooresville, North Carolina. Qualified in 2008, 18 years ago. Practices with Carolina Pain and Weight Loss, PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
18
Licensed in
NC
In the registry since
2009
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Practice location Address checks out

131 Welton Way
Mooresville, NC 28117-9163
Phone: (704) 360-4564
Fax: (704) 360-4553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5004397 (NC)

Record details

NPI number1104056167
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESFebruary 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Carolina Pain And Weight Loss, Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mooresville