Patrick, Jason
Patrick, Jason is an individual health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Patrick, Jason can be contacted via phone (520) 533-9200.Contact Information
Primary practice address
2240 Winrow Rd
Fort Huachuca AZ 85613-5080
Phone: (520) 533-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 242268 | Arizona |
Profile Details
| NPI number | 1730705377 |
|---|---|
| LBN Legal business name | Patrick, Jason |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2020 |
| Last updated | Dec 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730705377 | NPPES |
| Arizona | Other | 242268 | FNP LICENSE |
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