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Jacklyn Louise Patton
Student in an Organized Health Care Education/Training Program in Moon Twp, Pennsylvania
NPI 1841900271

Jacklyn Louise Patton is a Student in an Organized Health Care Education/Training Program based in Moon Twp, PA. Jacklyn Louise Patton practices in Moon Twp, PA. The NPI Number for Jacklyn Louise Patton is 1841900271 and holds a License No. 0890773 (Pennsylvania).

The current practice location address for Jacklyn Louise Patton is 6906 University Blvd, Moon Twp, PA and can be reached out via phone at 412-269-2501.

Location: 6906 University Blvd, Moon Twp, PA, 15108-4248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841900271
Provider Name
Jacklyn Louise Patton
Credential
Provider Entity Type
Individual
Gender
Female
Address
6906 University Blvd, Moon Twp, PA, 15108-4248
Phone Number
412-269-2501
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6906 University Blvd
City
Moon Twp
State
Pennsylvania
Zip
15108-4248
Phone Number
412-269-2501
Fax Number
person
Provider Business Mailing Address Details
Address
6906 University Blvd
City
Moon Twp
State
Pennsylvania
Zip
15108-4248
Phone Number
412-269-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
PI125573 (Pennsylvania)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0890773 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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