Susan B Patterson
Nurse Practitioner
501 Marshall St Ste 104
Jackson
, Mississippi 39202-1651
Susan B Patterson
Nurse Practitioner
501 Marshall St Ste 104
Jackson
, Mississippi 39202-1651
(901) 227-8591
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Susan B Patterson
- 965 Ridge Lake Blvd Ste 103
- Memphis, TN
- Zip : 38120-9446
- Fax : (901) 227-8591
- Phone : (901) 227-3255
Second Address
- Susan B Patterson
- 501 Marshall St Ste 104
- Jackson, MS
- Zip : 39202-1651
- Fax : (601) 973-4541
- Phone : (601) 969-6404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R671975 | MS |
National Provider Identifier
| NPI | 1003835885 |
|---|---|
| Provider Name | Susan B Patterson |
| First Address | Memphis, TN 38120-9446 |
| Second Address | Jackson, MS 39202-1651 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2006 |
| Last Update Date | 08/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S89769 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.