Patton, Carolyn Louise

Patton, Carolyn Louise is an individual health care provider with primary practice located at 1407 E Main St , Nacogdoches TX 75961-5369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patton, Carolyn Louise can be contacted via phone (936) 569-8240.

Contact Information

Primary practice address
1407 E Main St Nacogdoches TX 75961-5369
Phone: (936) 569-8240
Fax: (936) 569-2217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 604704 Texas

Profile Details

NPI number 1215111778
LBN Legal business name Patton, Carolyn Louise
Credentials RN MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Jan 6th, 2021 - about 4 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 1215111778 NPPES
Texas MEDICAID 193249302
Texas Other 291334YSL8

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