Provider Demographics
NPI:1467109405
Name:PATTERSON, TAMARA JONES (CNA)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:JONES
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 W MALLORY ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-6247
Mailing Address - Country:US
Mailing Address - Phone:850-485-5830
Mailing Address - Fax:
Practice Address - Street 1:3303 W MALLORY ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-6247
Practice Address - Country:US
Practice Address - Phone:850-485-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health