Provider Demographics
NPI:1558609578
Name:PATTERSON, JULIE LORRAINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LORRAINE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:8901 WISCONSIN AVE AMERICA BLDG SECOND FLOOR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-319-8538
Mailing Address - Fax:301-319-7081
Practice Address - Street 1:8901 WISCONSIN AVE AMERICA BLDG SECOND FLOOR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-3788
Practice Address - Country:US
Practice Address - Phone:301-319-8538
Practice Address - Fax:301-319-7081
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110004796363AS0400X
MDC06499363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical