National Provider Identifier
Jordan Renee Patterson, MD
Jordan Renee Patterson, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-7464.
Profile Overview
- NPI
- 1205457256
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 30, 2020
- Last Updated
- June 20, 2020
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-7464
Mailing Address
- 2212 S 64Th Plz Apt 203
- Omaha, NE 68106-2815
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1205457256
- Entity Type
- Individual
- Last Name
- Patterson
- First Name
- Jordan
- Middle Name
- Renee
- Credential
- MD
- Provider Other Last Name
- Bowman
- Provider Other First Name
- Jordan
- Provider Other Middle Name
- Renee
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2212 S 64Th Plz Apt 203
- Mailing City
- Omaha
- Mailing State
- NE
- Mailing ZIP Code
- 68106-2815
- Mailing Country
- US
- Mailing Phone
- (402) 521-0277
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-7464
- Enumeration Date
- April 30, 2020
- Last Updated
- June 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)