Individual
JILLIAN MATYJEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8 WOOD ST, PITTSTON, PA 18640-2029
(570) 299-0077
Mailing address
8 WOOD ST, PITTSTON, PA 18640-2029
(570) 299-0077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN660974
PA
163WC0400X
Case Management Registered Nurse
RN660974
PA
163WC1500X
Community Health Registered Nurse
RN660974
PA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN660974
PA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN660974
PA
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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