Individual
MS. JENNIFER SUE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 ROCKCREEK DR, SAINT JOHNS, FL 32259-3280
(800) 469-9031
(949) 695-4231
Mailing address
204 ROCKCREEK DR, SAINT JOHNS, FL 32259-3280
(904) 352-9957
(904) 204-1470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923424-00
—
FL
05
—
615514103A
—
GA
Enumeration date
03/14/2006
Last updated
01/05/2026
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