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NPI Code Detail

MEDICARE: MS. JENIFER J PATTERSON APRN

MEDICARE: MS. JENIFER J PATTERSON APRN
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
1363L00000XNurse Practitioner4887PKY
2363L00000XNurse Practitioner3004887KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7P01148978OTHERKYRAILROAD MEDICARE
8P400028567OTHERKYMEDICARE PTAN - NNS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37058103OTHERKYCIGNA - NNS
4000000679321OTHERKYANTHEM - NNS
5066174OTHERKYSIHO - NNS
650030469OTHERKYPASSPORT & PASSPORT ADVTG - NNS
9000057058QOTHERKYHUMANA - NNS

General Provider Information

NPI Number : 1447271135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENIFER J PATTERSON APRN
Provider Business Mailing Address
First Line : PO BOX 950202
Second Line :
City : LOUISVILLE
State : KY
Zip : 40295-0202
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 3991 DUTCHMANS LN STE 310
Second Line : SUITE 300
City : LOUISVILLE
State : KY
Zip : 40207-4716
Country : US
Telephone Number : 502-899-6411
Fax Number : 502-899-6413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 02/16/2015

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