Individual
JACLYN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 ROUTE 70 E STE B, RENAISSANCE SQUARE, MARLTON, NJ 08053-1855
(856) 596-9057
(856) 596-0837
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 596-9057
(856) 596-0837
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NR15677000
NJ
Other
Enumeration date
10/21/2024
Last updated
12/30/2024
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