DEANNA L PATTERSON FNP NPI 1639133473

NPI Information

NPI: 1639133473
Provider Name: DEANNA L PATTERSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2000 BROOKSIDE DR
3RD FLOOR
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-5905
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Deanna L Patterson, FNP is a family nurse practitioner in Kingsport, TN. Deanna L Patterson, FNP NPI is 1639133473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 BROOKSIDE DR
3RD FLOOR
KINGSPORT, TN
ZIP 37660-627
Phone: (423) 857-5905
Fax: (423) 857-5904

The enumeration date for this NPI number is 4/17/2006 and was last updated on 12/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN07770	TENNESSEE	Yes
2	363LF0000X	Nurse Practitioner	Family	RN119860	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TN01Q6	OTHER	TENNESSEE	JOHN DEERE
2	1639133473	MEDICAID	VIRGINIA
3	7100111530	MEDICAID	KENTUCKY
4	4057118	OTHER	TENNESSEE	BCBS
5	3905386	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
6	P00817727	OTHER	TENNESSEE	RR MEDICARE
7	1514467	MEDICAID	TENNESSEE
8	3905386	MEDICAID	TENNESSEE
9	39053861	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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