Jessica Kiersten Mattson in Honolulu - Medical
Jessica Kiersten Mattson - NPI 1669637807
Jessica Kiersten Mattson is a Medical in Honolulu, Hawaii. Jessica Kiersten Mattson practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica Kiersten Mattson is 1669637807. The last update date is 2022-07-12.
Jessica Kiersten Mattson's current location address is 1329 Lusitana St Ste 807, Honolulu, Hawaii. You can contact this provider via phone number 6033211099. The mailing address for Jessica Kiersten Mattson is 1329 Lusitana St Ste 807, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Kiersten Mattson |
|---|---|
| Address | 1329 Lusitana St Ste 807, Honolulu, Hawaii |
| Phone Number | 6033211099 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1669637807 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2022-07-12 |
Provider Mailing Address Detail
| Address | 1329 Lusitana St Ste 807 |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968132435 |
| Phone Number | 6033211099 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H107724 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica Kiersten Mattson by the Centers for Medicare & Medicaid Services?
The Jessica Kiersten Mattson has been issued the NPI (National Provider Identifier) 1669637807 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jessica Kiersten Mattson is physically located?
The Jessica Kiersten Mattson is physically situated at the following address: 1329 Lusitana St Ste 807, Honolulu, HI, 968132435.
What is Jessica Kiersten Mattson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica Kiersten Mattson is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669637807 to Jessica Kiersten Mattson?
The Centers for Medicare & Medicaid Services originally issued the 1669637807 to Jessica Kiersten Mattson on 2008-07-28.
As of what date were the details related to Jessica Kiersten Mattson most recently updated or revised?
The information pertaining to Jessica Kiersten Mattson, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY