TESSA PATTERSON NPI 1104475987

NPI Information

NPI: 1104475987
Provider Name: TESSA PATTERSON
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
787 SUNSET BLVD STE 200
O FALLON, IL
ZIP 62269
Phone: (618) 726-2229
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Tessa Patterson is a women's health nurse practitioner in O Fallon, IL. Tessa Patterson NPI is 1104475987. 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:

787 SUNSET BLVD STE 200
O FALLON, IL
ZIP 62269-960
Phone: (618) 726-2229

The enumeration date for this NPI number is 9/5/2019 and was last updated on 11/2/2021.

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	163WS0200X	Registered Nurse	School	041457885	ILLINOIS	No
2	363LW0102X	Nurse Practitioner	Women's Health	209024236	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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