MEDICARE: MR. JORDAN B PATTERSON APRN

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
1	363LF0000X	Family Nurse Practitioner	4028381	KY

General Provider Information

NPI Number	:	1245058312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JORDAN B PATTERSON APRN

Provider Business Mailing Address
First Line	:	4700 EXCHANGE CT STE 110
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-4450
Country	:	US
Telephone Number	:	561-948-0291
Fax Number	:	561-859-0429

Provider Business Practice Location Address
First Line	:	1101 MASTER ST
Second Line	:
City	:	CORBIN
State	:	KY
Zip	:	40701-3511
Country	:	US
Telephone Number	:	606-528-2881
Fax Number	:	606-528-0293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2024
Last Update Date	:	04/10/2026

Similar Medicare Providers

1821074360 — DR. MELISSA LOUELLEN FORESTER KNUCKLES MD
Practice Location Address:

1101 MASTER ST
CORBIN, KY
40701-3511

Practice Phone: 606-528-2881
Practice Fax: 696-528-0293

1255299616 — INTEGRATED DERMATOLOGY OF E COMMONWEALTH KY PSC
Practice Location Address:

1101 MASTER ST
CORBIN, KY
40701-3511

Practice Phone: 606-528-2881
Practice Fax: 606-528-0293

1700928140 — MELISSA L F KNUCKLES MD PSC
Practice Location Address:

1101 EAST MASTER STREET
CORBIN, KY
40701-3511

Practice Phone: 606-528-2881
Practice Fax:

1700729662 — CANDACE DELIGHT WILSON TCM
Practice Location Address:

2097 ADAMS RD
CORBIN, KY
40701-4720

Practice Phone: 606-344-3018
Practice Fax:

1801563556 — JEREMIAH BULLARD LPCA
Practice Location Address:

113 BARTON MILL RD APT 2H
CORBIN, KY
40701-2921

Practice Phone: 606-627-3595
Practice Fax: 606-385-1853

1063353639 — TAMMY BROOKLYN BROCK
Practice Location Address:

1 TRILLIUM WAY
CORBIN, KY
40701-8426

Practice Phone: 606-528-1212
Practice Fax:

Directions to “ MR. JORDAN B PATTERSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.