Individual provider · Type 1 NPI
Patty Jo Mattox, C.R.N.P.
Nurse Practitioner · Baltimore, MD
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
PO Box 64264
Baltimore, MD 21264-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R146293 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104875293
Patty Jo Mattox, C.R.N.P.'s National Provider Identifier is 1104875293, issued on May 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 25, 2013.