Paige Pittman Patrick, FNP
Nurse Practitioner, Primary Care in Lake Village, AR. Individual provider (NPI-1).
NPI number1982117941
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1982117941
- Entity type
- Individual (NPI-1)
- Name
- Paige Pittman Patrick
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | A005410 | AR | Yes |
Practice location
2729 S Highway 65 82Lake Village, AR 71653-6136
Phone 870-265-9365
Mailing address
4813a E Highway 82Lake Village, AR 71653-6066
Phone 662-934-0513
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