Most Relevant Information
Provider Data
| NPI Number: | 1003835885 |
| Provider Name: | SUSAN B PATTERSON NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | R671975 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 05/08/2020 |
Provider Practice Location
501 MARSHALL ST
STE 104
JACKSON
MS
392021651
Practice Location Phone/Fax
| Phone: | 6019696404 |
| Fax: | 6019734541 |
Provider Mailing Location
965 RIDGE LAKE BLVD STE 103
MEMPHIS
TN
381209446
Provider Mailing Phone/Fax
| Phone: | 9012273255 |
| Fax: | 9012278591 |