Patterson, Deanna L

Patterson, Deanna L is an individual health care provider with primary practice located at 2000 Brookside Dr 3Rd Floor, Kingsport TN 37660-4627. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patterson, Deanna L can be contacted via phone (423) 857-5905.

Contact Information

Primary practice address
2000 Brookside Dr 3Rd Floor Kingsport TN 37660-4627
Phone: (423) 857-5905
Fax: (423) 857-5904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN07770 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN119860 Tennessee

Profile Details

NPI number 1639133473
LBN Legal business name Patterson, Deanna L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 23rd, 2014 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639133473 NPPES
Tennessee Other P00817727 RR MEDICARE
Tennessee MEDICAID 3905386 RR MEDICARE
Tennessee MEDICAID 1639133473 RR MEDICARE
Tennessee Other TN01Q6 RR MEDICARE
Tennessee MEDICAID 7100111530 RR MEDICARE
Tennessee MEDICAID 1514467 RR MEDICARE
Tennessee Other 4057118 RR MEDICARE

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