Doctor Name: | MS. JENNIFER ALTAMURO PATTERSON |
NPI Number: | 1336410133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC |
License Number: | SP008164 |
Business Practice Address: | 732 W Birchtree Ln Claymont, DE - 197031603 |
Business Phone Number: | 2154317537 |
Business Fax Number: | |
Mailing Address: | 732 W. Birchtree Lane, CLAYMONT |
State: | DE |
Postal Code: | 19703 |
Phone Number: | 2154317537 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2012 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP008164 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |