Individual
MR. JOHNNY EDWARD PATTERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Mailing address
283 SOUTH BUTLER ROAD, MOUNT GRETNA, PA 17064
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0000126
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP013760
PA
Other
Enumeration date
05/09/2014
Last updated
06/01/2017
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