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Shelby Patterson, FNP-C
Family Nurse Practitioner in South Bend, Indiana
NPI 1710611603

Shelby Patterson is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Shelby Patterson practices in South Bend, IN and has the professional credentials of FNP-C. The NPI Number for Shelby Patterson is 1710611603 and holds a License No. 28220040A (Indiana).

The current practice location address for Shelby Patterson is 1815 E Ireland Rd, South Bend, IN and can be reached out via phone at 574-647-1700.

Location: 1815 E Ireland Rd, South Bend, IN, 46637-4615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710611603
Provider Name
Shelby Patterson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1815 E Ireland Rd, South Bend, IN, 46637-4615
Phone Number
574-647-1700
Fax Number
Provider Enumeration Date
07/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300067413 05 IN
institution
Provider Business Practice Location Address Details
Address
1815 E Ireland Rd
City
South Bend
State
Indiana
Zip
46614-2845
Phone Number
574-647-1700
Fax Number
person
Provider Business Mailing Address Details
Address
1815 E Ireland Rd
City
South Bend
State
Indiana
Zip
46614-2845
Phone Number
574-647-1700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
71012807A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28220040A (Indiana)
Definition
Definition to come...
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