Provider Demographics
NPI:1255512935
Name:PATTERSON, JESSICA S (NP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:S
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13710 ST. FRANCIS MEDICAL CENTER
Mailing Address - Street 2:BON SECOURS ST. FRANCIS MEDICAL CENTER
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114
Mailing Address - Country:US
Mailing Address - Phone:804-594-3450
Mailing Address - Fax:804-594-3455
Practice Address - Street 1:13710 ST. FRANCIS MEDICAL CENTER
Practice Address - Street 2:BON SECOURS ST. FRANCIS MEDICAL CENTER
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114
Practice Address - Country:US
Practice Address - Phone:804-594-3450
Practice Address - Fax:804-594-3455
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.09787.NP363LF0000X
VA0024168191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHWIPA30451Medicare PIN
OHWIPA30452Medicare PIN