Mathewson, Leslie A.

Mathewson, Leslie A. is an sole proprietor health care provider with primary practice located at 10434 Jackson Oaks Way , Knoxville TN 37922-3293. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mathewson, Leslie A. can be contacted via phone (865) 281-1408.

Contact Information

Primary practice address
10434 Jackson Oaks Way Knoxville TN 37922-3293
Phone: (865) 281-1408
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 142095 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10492 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 25390 South Carolina

Profile Details

NPI number 1376588236
LBN Legal business name Mathewson, Leslie A.
Credentials APN (PMHNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Jun 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376588236 NPPES
Tennessee Other 3648105 MEDICARE ID TYPE UNSPECIFIED

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