NPI Index

MS. JESSICA MATIS, DNP, APRN, ACNP-AG

Nurse Practitioner - Acute Care

Active Individual
NPI: 1093164402

Practice Address

GOODWIN HOUSE
3440 S. JEFFERSON STREET
Baileys Crossroads, VA 22041

Phone: (703) 820-1488

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X No 3010039 (KY)
Nurse Practitioner - Acute Care 363LA2100X Yes 3010039 (KY)

Frequently Asked Questions

NPI 1093164402 is the National Provider Identifier for MS. JESSICA MATIS, DNP, APRN, ACNP-AG, a Nurse Practitioner - Acute Care provider located in Baileys Crossroads, VA. This NPI was enumerated on June 7, 2016.
MS. JESSICA MATIS, DNP, APRN, ACNP-AG practices at GOODWIN HOUSE, 3440 S. JEFFERSON STREET, Baileys Crossroads, VA 22041.

Quick Facts

NPI
1093164402
Type
Individual
Enumerated
Jun 7, 2016
Last Updated
Aug 15, 2019

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