Healthcare Provider Details

I. General information

NPI: 1780570945
Provider Name (Legal Business Name): ANDREA EVE PATTERSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E VETERANS DR
COOKEVILLE TN
38501-4038
US

IV. Provider business mailing address

500 GRANDVIEW DR
COOKEVILLE TN
38506-4949
US

V. Phone/Fax

Practice location:
  • Phone: 931-372-1994
  • Fax:
Mailing address:
  • Phone: 931-644-1607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38980
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: