Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Marie Mattocks, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1376909242

Jenna Marie Mattocks, PNP is a Pediatric Nurse Practitioner in Alexandria, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

610 30th Ave W
Alexandria, MN 56308-3426
Phone: (320) 763-5123
Fax: (320) 763-5749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP 4319 (MN)

Record details

NPI number1376909242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJanuary 7, 2016
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024