Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY DRAKE, RN, CCM
Deactivated Sole ProprietorTIFFANY DRAKE, RN, CCM is a Registered Nurse healthcare provider located in POTTSBORO, Texas. NPI 1417456617 is deactivated in the NPPES registry. Verify at CMS.
Registered Nurse · POTTSBORO, TX
This NPI has been deactivated.
The record was deactivated on April 26, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417456617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2018 (3.2246575342466 yrs)
- Last Updated
- Jun 8, 2021
- Deactivated
- Apr 26, 2021
- License
-
652003 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
644 PEARCE DRPOTTSBORO, TX, 750766988Browse TX providers · Browse ZIP 75076
- Phone
- 9036244529
- Fax
- 9035827281
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in POTTSBORO, TX
| Name | Credential | NPI |
|---|---|---|
| ALISA LEA CLEVELAND | — | 1710487277 |
| MRS. SARAH BETH MORRIS | RN, CWD | 1548742885 |
| ANDREEN MARY GRIGEREK-JACKSON | — | 1528524550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.