IndividualActive
Jonathan Drake, M.D.
NPI 1891132924 · Neurology Physician · Providence, RI
Provider details
- NPI number
- 1891132924
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD15921 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Apc 5
Providence, RI 02903-4923
Phone: (401) 444-6440
Fax: (401) 444-6858
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2018-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.