Individual
MS. JENNIFER J PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
20053 SUMMIT VIEW BLVD, SUITE 1, WATERTOWN, NY 13601
(315) 755-2560
(315) 755-2597
Mailing address
20053 SUMMIT VIEW BLVD, SUITE 1, WATERTOWN, NY 13601
(315) 755-2560
(315) 755-2597
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307265
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307265-01
NY
363LP2300X
Primary Care Nurse Practitioner
F307265-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04155946
—
NY
01
—
13541620
CAQH
—
Enumeration date
04/08/2015
Last updated
03/22/2023
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