| Jaclyn Patterson, | |
|
141 Route 70 E Ste B, Renaissance Square, Marlton, NJ 08053-1855 | |
| (856) 596-9057 | |
| (856) 596-0837 |
| Full Name | Jaclyn Patterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Critical Care Medicine |
| Location | 141 Route 70 E Ste B, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609697994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NR15677000 (New Jersey) | Primary |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Patterson, 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 596-9057 | Jaclyn Patterson, 141 Route 70 E Ste B, Renaissance Square, Marlton, NJ 08053-1855 Ph: (856) 596-9057 |
Dorothy Rozelle, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Maribett Flores, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Lincoln Dr E, Marlton, NJ 08053 Phone: 215-823-4487 Fax: 267-292-9411 | |
Alyssa Whalen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70, Suite B Renaissance Square, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 |