Provider Demographics
NPI:1831641596
Name:PATTEN, ASHLEY VE'ANGELA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:VE'ANGELA
Last Name:PATTEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:VE'ANGELA
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 743294
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3294
Mailing Address - Country:US
Mailing Address - Phone:864-797-6044
Mailing Address - Fax:
Practice Address - Street 1:BON SECOURS EXPRESS CARE
Practice Address - Street 2:75 E MCBEE AVE
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2737
Practice Address - Country:US
Practice Address - Phone:864-241-5199
Practice Address - Fax:864-241-5198
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP4280Medicaid