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NPI Code Detail

MEDICARE: JASEY KELNE PATTERSON PA-C

MEDICARE: JASEY KELNE PATTERSON PA-C
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
1363A00000XPhysician AssistantPA14677TX

General Provider Information

NPI Number : 1578130811
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASEY KELNE PATTERSON PA-C
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number : 855-501-1004
Fax Number :
Provider Business Practice Location Address
First Line : 7000 N MOPAC EXPY STE 210
Second Line :
City : AUSTIN
State : TX
Zip : 78731-3093
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 05/07/2026

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Directions to “ JASEY KELNE PATTERSON PA-C” Practice Location

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