Vanessa Jessica Drayton | Patchogue, NY • PECOS Search

Vanessa Jessica Drayton

Licensed Practical Nurse

Nursing Service Providers

23 Brook St, Patchogue, NY 11772-3824

PECOS Enrollment

Based on the most recent information from CMS, provider Vanessa Jessica Drayton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1255981445
Provider Type
Individual
Full Name
Drayton, Vanessa Jessica
Gender
Female

Sole Proprietor
No
Enumeration Date
9/19/2019
Last Updated
9/19/2019

Contact Information

Practice Location

23 Brook St, Patchogue, NY 11772-3824

Unlisted Fax

Mailing Location

17 Bank Ave, Smithtown, NY 11787-2703

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 330669-1 New York