Individual
JENNIFER LYNNE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1617 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-1040
(941) 613-2400
(941) 613-2401
Mailing address
PO BOX 494710, PORT CHARLOTTE, FL 33949-4710
(941) 613-2400
(941) 613-2401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1981882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08153
BC/BS FL
FL
01
—
1255052
UHC
FL
01
—
5872736
AETNA
FL
01
—
6417334
CIGNA
FL
Enumeration date
10/10/2006
Last updated
05/04/2010
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