Individual
DR. JESSICA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NA
TN
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
NA
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62518
TN LICENSE
TN
01
—
NA
NA
—
Enumeration date
03/22/2018
Last updated
03/13/2024
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