Healthcare Provider Details

I. General information

NPI: 1992755219
Provider Name (Legal Business Name): JANET L PATTERSON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 HOSPITAL DR
ST JOHNSBURY VT
05819-9239
US

IV. Provider business mailing address

1248 HOSPITAL DR
ST JOHNSBURY VT
05819-9248
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-8757
  • Fax: 802-748-8757
Mailing address:
  • Phone: 802-748-8757
  • Fax: 802-748-6503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number101.0134224
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number155989
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: