Provider Demographics
NPI:1457496051
Name:PATTERSON, BRENDA MICHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:MICHELLE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38320-1619
Mailing Address - Country:US
Mailing Address - Phone:731-584-4944
Mailing Address - Fax:731-584-8831
Practice Address - Street 1:225 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320-1619
Practice Address - Country:US
Practice Address - Phone:731-584-4944
Practice Address - Fax:731-584-8831
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN163W00000X163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse