Provider Demographics
NPI:1538444807
Name:PATRINO, JESSICA DAWN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DAWN
Last Name:PATRINO
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:311 MOREHEAD STREET EXT
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3053
Mailing Address - Country:US
Mailing Address - Phone:606-571-2267
Mailing Address - Fax:
Practice Address - Street 1:2293 SUGAR HILL RD STE D
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7787
Practice Address - Country:US
Practice Address - Phone:828-652-8727
Practice Address - Fax:828-652-8793
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2020-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-03174363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant