Matthews, Jennifer Sue

Matthews, Jennifer Sue is an individual health care provider with primary practice located at 204 Rockcreek Dr , Saint Johns FL 32259-3280. 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. Matthews, Jennifer Sue can be contacted via phone (800) 469-9031.

Contact Information

Primary practice address
204 Rockcreek Dr Saint Johns FL 32259-3280
Phone: (800) 469-9031
Fax: (949) 695-4231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103372 Florida

Profile Details

NPI number 1508834631
LBN Legal business name Matthews, Jennifer Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 18th, 2024 - about 2 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 1508834631 NPPES
Florida MEDICAID 2923424-00
Florida MEDICAID 615514103A

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