Individual
MRS. JILL LYNN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
1212 S GREENFIELD RD, MESA, AZ 85206-2792
(480) 654-8920
Mailing address
9530 E MONTEREY AVE, MESA, AZ 85209-2239
(248) 343-6588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10179
ARIZONA BOARD OF NURSING APRON LICENSE
AZ
Enumeration date
06/21/2017
Last updated
06/21/2017
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