Provider Demographics
NPI:1760698104
Name:PATTERSON, BARBARA JANE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JANE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:733 CUSTWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086
Mailing Address - Country:US
Mailing Address - Phone:904-234-5322
Mailing Address - Fax:904-797-7684
Practice Address - Street 1:1093 A1A BEACH BLVD
Practice Address - Street 2:#109 ANASTASIA PLAZA
Practice Address - City:ST AUGUSTINE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32080-6733
Practice Address - Country:US
Practice Address - Phone:904-234-5322
Practice Address - Fax:904-234-5322
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9173894NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily