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JEREMY WALKER PATRICK PA
NPI 1114360815
Physician Assistant in Aviano, PN

Active since April 11, 2013
DOD USAF NATO BASE, AVIANO, PN 09603(632) 632-9022 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Walker Patrick Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY WALKER PATRICK PA (NPI 1114360815) is an individual physician assistant in Aviano, PN, licensed in Georgia (9709) and active in the NPI registry since April 2013. He maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1114360815
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEREMY WALKER PATRICKCredential: PA
Location AddressDOD USAF NATO BASEAviano, PN 09603
Mailing AddressAviano Mdg, Unit 6180Apo, AE 09604
Phone(632) 632-9022
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1114360815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 9709✔ Licensed in AL · 1762
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA60567501 (WA)

Secondary Practice Location 1

Location 1122 W 7th Ave Ste 110Spokane, WA 99204-2301 · Phone (509) 462-6485 · Fax (509) 462-5059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Patrick's NPI number?

The NPI number for Jeremy Patrick is 1114360815. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Jeremy Patrick located?

Jeremy Patrick practices at Dod Usaf Nato Base, Aviano, PN 09603. The listed phone number is (632) 632-9022.

What is Jeremy Patrick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Patrick was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.