JIMMY PATTERIL DO NPI 1730977802

NPI Information

  • NPI: 1730977802
  • Provider Name: JIMMY PATTERIL, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 311 E MATTHEWS AVE
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 972-0063

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NPI Details

Jimmy Patteril, DO is a student in an organized health care education training program in Jonesboro, AR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jimmy Patteril, DO NPI is 1730977802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

311 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401-125
Phone: (870) 972-0063
Fax: (870) 930-2931

The enumeration date for this NPI number is 4/29/2025 and was last updated on 4/29/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

NPI Synchronization or Removal

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