Individual provider · NPI-1
Mistydawn Patterson, PMH-BC, RN
Registered Nurse, Psych/Mental Health · Bloomington, IN
NPI number1043038813
StatusActive
Last updated in NPPESAug 7, 2026
Details
- NPI
- 1043038813
- Entity type
- Individual (NPI-1)
- Name
- Mistydawn Patterson
- Credential
- PMH-BC, RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2024
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 28270730A | IN | Yes |
| 163WG0000X | Registered Nurse, General Practice | 28270730A | IN |
Practice location
3961 S Cramer CirBloomington, IN 47403-8931
Phone 812-272-0525
Mailing address
3001 S Tillotson AveMuncie, IN 47356
Phone 765-202-8014 · Fax 765-202-8161
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