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General NPI Number Information
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NPI Number | 1699630780
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Entity Type | Individual
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Provider Name | JAY KEVIN PATTERSON APRN
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Gender | Male
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 350 7TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-5754
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Country | US
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Telephone | 239-624-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 20336 ESTERO CROSSING BLVD
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City | ESTERO
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State | FL
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Zip | 33928-4064
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Country | US
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Telephone | 239-777-8118
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RN9375111
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License Number State | FL
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