Matos, Jessica

Matos, Jessica is an individual health care provider with primary practice located at 2120 Sarno Rd , Melbourne FL 32935-3084. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Matos, Jessica can be contacted via phone (321) 241-6800.

Contact Information

Primary practice address
2120 Sarno Rd Melbourne FL 32935-3084
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11006062 Florida

Profile Details

NPI number 1306479399
LBN Legal business name Matos, Jessica
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2020
Last updated Aug 3rd, 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 1306479399 NPPES
Florida Other APRN11006062 FL DOH

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