Patton, Carol Lynn

Patton, Carol Lynn is an individual health care provider with primary practice located at 8111 S Emerson Ave Fl 5 , Indianapolis IN 46237. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Patton, Carol Lynn can be contacted via phone (317) 528-8930.

Contact Information

Primary practice address
8111 S Emerson Ave Fl 5 Indianapolis IN 46237
Phone: (317) 528-8930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004499A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71004499A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28113039A Indiana

Profile Details

NPI number 1790121549
LBN Legal business name Patton, Carol Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Sep 13th, 2019 - about 5 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 1790121549 NPPES
Indiana MEDICAID 201181150

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