Provider Demographics
NPI:1831850130
Name:MATTHEWS, JESSICA (NP-C FNP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:NP-C FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 FLEMING AVE
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4311
Mailing Address - Country:US
Mailing Address - Phone:870-933-5174
Mailing Address - Fax:870-933-5235
Practice Address - Street 1:1201 FLEMING AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4311
Practice Address - Country:US
Practice Address - Phone:870-933-5174
Practice Address - Fax:870-933-5235
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR218273363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily