Patrick, Jason

Patrick, Jason is an individual health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Patrick, Jason can be contacted via phone (520) 533-9200.

Contact Information

Primary practice address
2240 Winrow Rd Fort Huachuca AZ 85613-5080
Phone: (520) 533-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 242268 Arizona

Profile Details

NPI number 1730705377
LBN Legal business name Patrick, Jason
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated Dec 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730705377 NPPES
Arizona Other 242268 FNP LICENSE

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