Provider Demographics
NPI:1497157473
Name:PATTERSON, JANET (APRN NP-C)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:APRN NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-1940
Mailing Address - Country:US
Mailing Address - Phone:502-542-5889
Mailing Address - Fax:
Practice Address - Street 1:24934 FIR GROVE LN
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:OR
Practice Address - Zip Code:97437-9751
Practice Address - Country:US
Practice Address - Phone:541-234-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008908363LF0000X
OR10003192363LF0000X
CANP95018845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily