Provider Demographics
NPI:1356474605
Name:PATRONE, JESSICA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:L
Last Name:PATRONE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 JIM FORD RD
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-3133
Mailing Address - Country:US
Mailing Address - Phone:239-851-7317
Mailing Address - Fax:
Practice Address - Street 1:527 N STATE OF FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-8210
Practice Address - Country:US
Practice Address - Phone:423-975-0597
Practice Address - Fax:423-975-6304
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024053183500000X
OH783135183500000X
NC28627183500000X
TN36588183500000X
FLPS35763183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH783135OtherSTATE LICENSE NUMBER
KY024053OtherSTATE LICENSE NUMBER
TN36588OtherSTATE LICENSE NUMBER
FLPS35763OtherSTATE LICENSE NUMBER
NC28627OtherSTATE LICENSE NUMBER