Matthesen, Allyson Nicole

Matthesen, Allyson Nicole is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. 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. Matthesen, Allyson Nicole can be contacted via phone (573) 632-5000.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2023001731 Missouri

Profile Details

NPI number 1972201036
LBN Legal business name Matthesen, Allyson Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2023
Last updated Oct 2nd, 2026 - about last month

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 1972201036 NPPES
Missouri MEDICAID 220129220

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