Jessica Mathew
Jessica Mathew is a Student in an Organized Health Care Education/Training Program in Marietta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
115 Cherry St NEMarietta, GA 30060-7205
Phone: (845) 323-7710
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1972277069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | March 1, 2024 |
| Certification date | March 1, 2024 |
| Mailing address | 2 Brighton Ln, New City, NY 10956-1424 |
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