Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raena Patterson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174414619

Raena Patterson is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

8324 Merchants Way Unit 9
Jacksonville, FL 32222-2946
Phone: (904) 420-6331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30784 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1174414619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1485 Fouraker Rd Apt 3410, Jacksonville, FL 32221-7601

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