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

Patty Jo Mattox, CRNP

Individual provider Nurse Practitioner · NPI 1104875293

Patty Jo Mattox, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 1996, 30 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Maryland.

Years since qualifying
30
Licensed in
MD
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone: (410) 550-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R146293 (MD)

Record details

NPI number1104875293
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJanuary 25, 2013
Mailing addressPo Box 64264, Baltimore, MD 21264-4264

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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