| Doctor Name: | MRS. SUSAN PATTON |
| NPI Number: | 1023242963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N.,DNSC. |
| License Number: | A01015 |
| Business Practice Address: | 901 Holiday Dr Forrest City, AR - 723359183 |
| Business Phone Number: | 8706330880 |
| Business Fax Number: | 8706333801 |
| Mailing Address: | 901 Holiday Dr, FORREST CITY |
| State: | AR |
| Postal Code: | 723359183 |
| Phone Number: | 8706330880 |
| Fax Number: | 8706333801 |
| NPI Enumeration Date: | 05/06/2009 |
| NPI Last Update Date: | 05/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | A01015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |