Individual
CAROLYN LOUISE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
1407 E MAIN ST, NACOGDOCHES, TX 75961-5369
(936) 569-8240
(936) 569-2217
Mailing address
PO BOX 635022, NACOGDOCHES, TX 75963-5022
(936) 569-8240
(936) 569-2217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
604704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193249302
—
TX
01
—
291334YSL8
MEDICARE
—
Enumeration date
12/19/2007
Last updated
01/06/2021
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