Provider Demographics
NPI:1740280924
Name:HESS, PATRICIA B (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:B
Last Name:HESS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:850 POPLAR AVE BLDG 2
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4607
Mailing Address - Country:US
Mailing Address - Phone:901-287-5565
Mailing Address - Fax:901-287-6804
Practice Address - Street 1:51 N DUNLAP ST STE 400
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4625
Practice Address - Country:US
Practice Address - Phone:901-287-7337
Practice Address - Fax:901-287-6337
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2018-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN6053363LP0200X, 363LP0222X
TN70237163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ19997Medicare UPIN
TN3929520Medicare PIN