Provider Demographics
NPI:1194610121
Name:PATTON, TODD KENNETH (FNP-C)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:KENNETH
Last Name:PATTON
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12963 SOLEMN OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70818-1450
Mailing Address - Country:US
Mailing Address - Phone:225-278-3212
Mailing Address - Fax:
Practice Address - Street 1:12963 SOLEMN OAKS AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-1450
Practice Address - Country:US
Practice Address - Phone:225-278-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241541363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily