Provider Demographics
NPI:1790045722
Name:PATTON, JAMES STOCKTON (APRN, FNP-BC, NP-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STOCKTON
Last Name:PATTON
Suffix:
Gender:M
Credentials:APRN, FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 S MICHIGAN AVE APT 1502
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3402
Mailing Address - Country:US
Mailing Address - Phone:601-559-7548
Mailing Address - Fax:
Practice Address - Street 1:28369 DAVIS PKWY STE 402
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3036
Practice Address - Country:US
Practice Address - Phone:630-791-9391
Practice Address - Fax:630-791-9758
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR877834363LF0000X
IL209010476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily