Individual
JADE MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
21321 E OCOTILLO RD, SUITE #M131, QUEEN CREEK, AZ 85142-5996
(480) 636-1225
(480) 636-8890
Mailing address
21321 E OCOTILLO RD, SUITE #M131, QUEEN CREEK, AZ 85142-5996
(480) 636-1225
(480) 636-8890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP7630
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7630
AZ
363LG0600X
Gerontology Nurse Practitioner
AP7630
AZ
Other
Enumeration date
04/16/2015
Last updated
12/08/2025
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