MEDICARE: DR. JOANNE MCDOUGAL PATTERSON DNP, APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC002810	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN145851	GA

General Provider Information

NPI Number	:	1063975548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE MCDOUGAL PATTERSON DNP, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	1350 SCENIC HWY N STE 266
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-7924
Country	:	US
Telephone Number	:	888-210-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 SCENIC HWY N STE 266
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-7924
Country	:	US
Telephone Number	:	678-820-9054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/17/2025

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