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Individual

JASON C MATTERN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
787 WEATHERLY DR, SUITE 200, CLARKSVILLE, TN 37043-8949
(931) 647-1255
(931) 647-2399
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1054
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524510
TN
01
6039665
BLUECROSS
01
6091953
BCBS TN
TN
Enumeration date
06/01/2007
Last updated
04/21/2026
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