Individual
KERI J JONES MATHEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P.
Contact information
Practice address
45 SUGAR SAND LANE, SUITE A, SANTA ROSA BEACH, FL 32459-7482
(850) 534-4170
(850) 534-4174
Mailing address
45 SUGAR SAND LANE, SUITE A, SANTA ROSA BEACH, FL 32459-7482
(850) 534-4170
(850) 534-4174
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R850667
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03752321
—
MS
Enumeration date
02/07/2006
Last updated
12/01/2011
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