JESSICA F MATHEWS (NPI# 1356975007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356975007 |
Entity Type | Individual |
Full Name | JESSICA F MATHEWS |
Practice Address |
1012 Bermuda Run Statesboro GA 30458-0858 |
Practice Telephone | 9128714800 |
Practice Fax Number | 9128714900 |
Mailing Telephone | 9128714800 |
Mailing Fax Number | 9128714900 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN219991 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | STATE LICENSE | RN219991 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083819338 | Jessica Mathews | Counselor | 212 E Duke, Hugo, OK 74743 | 2007-06-18 |
1043843485 | Jessica Lee Mathews | Emergency Medical Technician, Paramedic | 777 Avenue H, Powell, WY 82435-2260 | 2020-02-13 |
1578120663 | Jessica Mathews | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2019-05-23 |
1659777209 | Jessica Mathews | Technician | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2014-11-10 |
1255603692 | Jessica S. Mathews | Nurse Practitioner | 3851 4th St N, St Petersburg, FL 33703-6114 | 2012-02-01 |
1437441391 | Jessica Mathews | Counselor | 18614 Whiskey Creek Rd, Wildwood, MO 63069-2530 | 2011-05-11 |
Street Address |
1012 BERMUDA RUN |
City | STATESBORO |
State | GA |
Zip Code | 30458-0858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194718080 | George Alban Palmer | Obstetrics & Gynecology | 1012 Bermuda Run, Statesboro, GA 30458-0858 | 2005-08-25 |
1801007695 | East Georgia Womens Center | Obstetrics & Gynecology | 1012 Bermuda Run, Statesboro, GA 30458-0858 | 2007-05-24 |
1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
Find all providers in zip 30458 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861014425 | Heather Sumner Herrin | Nurse Practitioner | 3024 Mccall Blvd, Statesboro, GA 30461-4919 | 2020-05-17 |
1235759895 | Health and Wellness PC | Nurse Practitioner | 1303 Sunset Cir, Statesboro, GA 30458-1575 | 2020-04-23 |
1619434917 | Kathryn Lynn Bowen-williams | Nurse Practitioner | 1800 Js Nesmith Rd, Statesboro, GA 30458-3613 | 2019-02-23 |
1306337332 | Phyllis Evon Solomon | Nurse Practitioner | 930 Teepee Way, Statesboro, GA 30461-6786 | 2018-05-25 |
1588185904 | Erica B Lanier | Nurse Practitioner | 5219 Williams Rd, Statesboro, GA 30458-0122 | 2017-07-06 |
1053849174 | Julie Laing Giardina | Nurse Practitioner | 7251 Zell Miller Pkwy, Statesboro, GA 30458-3487 | 2017-06-02 |
1700259108 | Melissa Beasley | Nurse Practitioner | 450 Georgia Ave Ste B, Statesboro, GA 30458-5590 | 2015-11-06 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1720428055 | Beverly B. Smith | Nurse Practitioner | 2331 Franklin Rd, Statesboro, GA 30461-7584 | 2013-07-01 |
1295081685 | Alan W Skipper | Nurse Practitioner | 127 N College St, Statesboro, GA 30458-5387 | 2012-08-03 |
Find all providers in STATESBORO |
City | STATESBORO |
Zip Code | 30458 |
Please comment or provide details below to improve the information on JESSICA F MATHEWS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.