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General NPI Number Information
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NPI Number | 1225692973
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Entity Type | Individual
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Provider Name | JESSICA PATTERSON NP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6225 BRANDON AVE STE 365
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2526
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Country | US
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Telephone | 571-642-3433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40412
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City | BELFAST
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State | ME
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Zip | 04915-1255
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Country | US
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Telephone | 248-824-6032
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024177543
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License Number State | VA
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