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Jordan Drake
NPI 1013812650 · on the registry since 2026 · sole proprietor
Practice
- Address
- 248 N Island View Ave
Long Beach, MS 39560 - Phone
- (228) 493-2965
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi