Jaclyn Patterson
Nurse Practitioner, Critical Care Medicine in Marlton, NJ. Individual provider (NPI-1).
NPI number1609697994
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1609697994
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Patterson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2024
- Certification date
- Dec 30, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | 26NR15677000 | NJ | Yes |
Practice location
141 Route 70 E Ste BRenaissance Square
Marlton, NJ 08053-1855
Phone 856-596-9057 · Fax 856-596-0837
Mailing address
301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone 856-596-9057 · Fax 856-596-0837
Other practice locations
1600 Haddon Ave
Camden, NJ 08103-3101
Camden, NJ 08103-3101
Phone 856-757-3500
100 Harvard Ave
Collingswood, NJ 08108-1406
Collingswood, NJ 08108-1406
Phone 856-816-1946
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