Individual
MS. JACKIE R PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 BROAD ST, GLOUSTER, OH 45732-1127
(740) 856-9788
(740) 767-2959
Mailing address
29 BROAD ST, GLOUSTER, OH 45732-1127
(740) 856-9788
(740) 767-2959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 168364
OH
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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