Individual
MS. JENIFER J PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3991 DUTCHMANS LN STE 310, SUITE 300, LOUISVILLE, KY 40207-4716
(502) 899-6411
(502) 899-6413
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004887
KY
363L00000X
Nurse Practitioner
4887P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000679321
ANTHEM - NNS
KY
01
—
000057058Q
HUMANA - NNS
KY
01
—
066174
SIHO - NNS
KY
05
—
200877190
—
IN
01
—
50030469
PASSPORT & PASSPORT ADVTG - NNS
KY
01
—
7058103
CIGNA - NNS
KY
05
—
78017365
—
KY
01
—
P01148978
RAILROAD MEDICARE
KY
01
—
P400028567
MEDICARE PTAN - NNS
KY
Enumeration date
07/21/2006
Last updated
02/16/2015
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