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NPI Code Detail

MEDICARE: AMMIE PATTERSON FNP-C

MEDICARE:   AMMIE  PATTERSON  FNP-C
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner30459TN
2225200000XPhysical Therapy Assistant3376TN
3363LF0000XFamily Nurse Practitioner30459TN

General Provider Information

NPI Number : 1811374598
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMMIE PATTERSON FNP-C
Provider Business Mailing Address
First Line : 8295 TOURNAMENT DR
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8906
Country : US
Telephone Number : 901-560-9624
Fax Number :
Provider Business Practice Location Address
First Line : 8295 TOURNAMENT DR STE 201
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-8913
Country : US
Telephone Number : 901-560-9624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 01/15/2026

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Directions to “ AMMIE PATTERSON FNP-C” Practice Location

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