Provider Demographics
NPI:1962043653
Name:PATTERSON-SIMMONS, CHRIS
Entity Type:Individual
Prefix:MRS
First Name:CHRIS
Middle Name:
Last Name:PATTERSON-SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3146
Mailing Address - Country:US
Mailing Address - Phone:408-929-8590
Mailing Address - Fax:405-272-8125
Practice Address - Street 1:3251 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3146
Practice Address - Country:US
Practice Address - Phone:408-929-8590
Practice Address - Fax:405-272-8125
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide