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Individual

JESSICA F MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1012 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-4800
(912) 871-4900
Mailing address
1012 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 871-4800
(912) 871-4900

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN219991
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN219991
STATE LICENSE
GA
Enumeration date
03/02/2020
Last updated
03/02/2020
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