Jennifer Lynne Patterson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1981882 Issued in FL

Practice address

1617 Tamiami TRL
Port Charlotte, FL 33948-1040

Phone

(941) 613-2400

Fax

(941) 613-2401

NPI assigned

Oct 10, 2006

Last updated

May 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Dermatology & Skin Surgery Specialists PA

  • Dermatology Physician
  • Naples, FL
  • NPI 1558579284
  NPD (past)
• Brooks Management

  • Dermatology Physician
  • Bradenton, FL
  • NPI 1093017774
  NPD (past)
• Brooks Management Inc

  • Clinical Medical Laboratory
  • Bradenton, FL
  • NPI 1699031880
  NPD (past)
• Stephen a Spencer MD PA

  dba Coastal Dermatology and Skin Cancer Center

  • Specialist
  • Port Charlotte, FL
  • NPI 1841244266
  NPD (past)
• Terrence T Hopkins MD, PA

  dba Manatee Dermatology

  • Specialist
  • Bradenton, FL
  • NPI 1255439592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1780772210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494710",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494710",
            "telephone_number": "941-613-2400",
            "fax_number": "941-613-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481040",
            "telephone_number": "941-613-2400",
            "fax_number": "941-613-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1981882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5872736",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6417334",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "08153",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1255052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Patino, APRN
• Patricia Patino, R.N.
• Patricia a Scott DDS PA
• Patricia L Gilchrist LCSW PA
• Patrick William Chernesky
• Rosemarie Angela Patton
• Paul M Popper MD PA
• Sarah Paul
• Julie Rose Pauly, ARNP
• Hannah Elizabeth Payne, LMHC, NCC

• Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.