Provider Demographics
NPI:1316417249
Name:PATTON, NAR'CISSA (NP)
Entity Type:Individual
Prefix:
First Name:NAR'CISSA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NAR'CISSA
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7629
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540-7601
Mailing Address - Country:US
Mailing Address - Phone:228-218-9588
Mailing Address - Fax:
Practice Address - Street 1:249 BEAUVOIR RD STE B2
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4008
Practice Address - Country:US
Practice Address - Phone:601-283-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS902915OtherMISSISSIPPI BOARD OF NURSING