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NPI Code Detail

MEDICARE: NANCY PATTERSON

MEDICARE: NANCY PATTERSON
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
1163W00000XRegistered NurseARNP578662FL

General Provider Information

NPI Number : 1801110085
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY PATTERSON
Provider Business Mailing Address
First Line : 84 STREAMSIDE DR
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28791-3181
Country : US
Telephone Number : 828-698-8244
Fax Number :
Provider Business Practice Location Address
First Line : 1900 CORPORATE SQUARE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1941
Country : US
Telephone Number : 904-727-6455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2010
Last Update Date : 03/17/2010

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Directions to “ NANCY PATTERSON ” Practice Location

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