Mathis, Mary Stephens

Mathis, Mary Stephens is an individual health care provider with primary practice located at 1310 County Road 210 W , Saint Johns FL 32259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mathis, Mary Stephens can be contacted via phone (904) 824-4407.

Contact Information

Primary practice address
1310 County Road 210 W Saint Johns FL 32259
Phone: (904) 824-4407
Fax: (904) 390-7459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103761 Florida

Profile Details

NPI number 1053446690
LBN Legal business name Mathis, Mary Stephens
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 15th, 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 1053446690 NPPES
Florida Other P00944724 RR MEDICARE

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