Healthcare Provider Details

I. General information

NPI: 1346119914
Provider Name (Legal Business Name): THEA LEANN PATTERSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 RESERVATION DR
SPINDALE NC
28160-1566
US

IV. Provider business mailing address

144 RESERVATION DR
SPINDALE NC
28160-1566
US

V. Phone/Fax

Practice location:
  • Phone: 828-287-0200
  • Fax: 828-287-8755
Mailing address:
  • Phone: 828-287-0200
  • Fax: 828-287-8755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023380
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: