| NPI | 1104623560 |
|---|---|
| Former Name | JESSE LEE PATTERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP1023496) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP1023496) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC NP1023496) | |
| 363L00000X Nurse Practitioner (Licence: DC NP1023496) | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |