Individual
JENNIFER FARRIS PATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
7148 US HIGHWAY 98, SUITE101, HATTIESBURG, MS 39402
(601) 261-1500
(601) 296-7549
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
888276
MS
363LF0000X
Family Nurse Practitioner
Primary
888276
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09126379
—
MS
Enumeration date
09/30/2014
Last updated
08/11/2020
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