Individual
JESSICA KIERSTEN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 DOUGLAS BLVD STE 170, ROSEVILLE, CA 95661-4281
(916) 740-3721
Mailing address
3400 DOUGLAS BLVD STE 170, ROSEVILLE, CA 95661-4281
(916) 740-3721
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
58311
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H107724
—
CA
Enumeration date
07/28/2008
Last updated
04/01/2026
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