Jonelle A Mattis
Nurse Practitioner - Family Medicine
8201 Peters Rd Ste 1000
Plantation
, Florida 33324-3266
Jonelle A Mattis
Nurse Practitioner - Family Medicine
8201 Peters Rd Ste 1000
Plantation
, Florida 33324-3266
(754) 422-2484
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jonelle A Mattis
- 4430 Nw 34th St
- Lauderdale Lakes, FL
- Zip : 33319-5702
- Phone : (754) 422-2484
Second Address
- Jonelle A Mattis
- 8201 Peters Rd Ste 1000
- Plantation, FL
- Zip : 33324-3266
- Phone : (877) 964-9378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9312189 | FL |
National Provider Identifier
| NPI | 1003331133 |
|---|---|
| Provider Name | Jonelle A Mattis |
| First Address | Lauderdale Lakes, FL 33319-5702 |
| Second Address | Plantation, FL 33324-3266 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2017 |
| Last Update Date | 24/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.