JASON W PATTERSON NPI 1497380208

NPI Information

NPI: 1497380208
Provider Name: JASON W PATTERSON
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
15855 19 MILE RD
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 263-2300
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Jason W Patterson is a gerontology nurse practitioner in Clinton Township, MI with 5 years of experience. Jason W Patterson NPI is 1497380208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2019

The provider's business location address is:

15855 19 MILE RD
CLINTON TOWNSHIP, MI
ZIP 48038-504
Phone: (586) 263-2300

The NPI 1497380208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2020 and was last updated on 6/18/2021.

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	363LA2100X	Nurse Practitioner	Acute Care	4704301079	MICHIGAN	No
2	363LG0600X	Nurse Practitioner	Gerontology	4704301079	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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