Provider Demographics
NPI:1427188010
Name:MATTHEWS, JOZETTE C (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JOZETTE
Middle Name:C
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:108 ESTATE PLESSEN # 132
Mailing Address - Street 2:
Mailing Address - City:FREDERIKSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00840-4619
Mailing Address - Country:US
Mailing Address - Phone:340-719-3113
Mailing Address - Fax:340-719-3117
Practice Address - Street 1:108 ESTATE PLESSEN # 132
Practice Address - Street 2:
Practice Address - City:FREDERIKSTED
Practice Address - State:VI
Practice Address - Zip Code:00840-4619
Practice Address - Country:US
Practice Address - Phone:340-713-3208
Practice Address - Fax:340-713-3230
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VI10217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI0084972EMedicare PIN