MEDICARE: ERIKA YECENIA PATTERSON NP

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	363LF0000X	Family Nurse Practitioner	1205614	TX

General Provider Information

NPI Number	:	1548159908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA YECENIA PATTERSON NP

Provider Business Mailing Address
First Line	:	79 WYNDEMERE DR
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-8107
Country	:	US
Telephone Number	:	281-904-6358
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 RAYFORD RD STE 500
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-5092
Country	:	US
Telephone Number	:	281-825-3265
Fax Number	:

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

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	07/01/2025

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