Individual
JENNIFER C PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00054373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
03/05/2020
Last updated
11/02/2021
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