Provider Demographics
NPI:1427573153
Name:MATTHEWS, JAYMEE LEAK (FNP-C)
Entity Type:Individual
Prefix:
First Name:JAYMEE
Middle Name:LEAK
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 ALHAMBRA BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1110
Mailing Address - Country:US
Mailing Address - Phone:916-313-8400
Mailing Address - Fax:916-436-5559
Practice Address - Street 1:2425 ALHAMBRA BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1110
Practice Address - Country:US
Practice Address - Phone:916-313-8400
Practice Address - Fax:916-436-5559
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95007973363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner