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NPI Code Detail

MEDICARE: JAMA R PATTERSON APRN, FNP

MEDICARE: JAMA R PATTERSON APRN, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner28238593AIN
2363LF0000XFamily Nurse Practitioner3012171KY

General Provider Information

NPI Number : 1104343714
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMA R PATTERSON APRN, FNP
Provider Business Mailing Address
First Line : PO BOX 23229
Second Line :
City : OWENSBORO
State : KY
Zip : 42304-3229
Country : US
Telephone Number : 270-688-1330
Fax Number : 270-688-1338
Provider Business Practice Location Address
First Line : 1200 BARRETT BLVD
Second Line :
City : HENDERSON
State : KY
Zip : 42420-4950
Country : US
Telephone Number : 270-844-8600
Fax Number : 270-844-8610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 05/14/2019

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Directions to “ JAMA R PATTERSON APRN, FNP” Practice Location

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