Patterson, Jennifer J

Patterson, Jennifer J is an individual health care provider with primary practice located at 20053 Summit View Blvd Suite 1, Watertown NY 13601. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Patterson, Jennifer J can be contacted via phone (315) 755-2560.

Contact Information

Primary practice address
20053 Summit View Blvd Suite 1 Watertown NY 13601
Phone: (315) 755-2560
Fax: (315) 755-2597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 307265 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F307265-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307265-01 New York

Profile Details

NPI number 1144616962
LBN Legal business name Patterson, Jennifer J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144616962 NPPES
Other 13541620 CAQH
MEDICAID 04155946 CAQH

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