Jessica A Mathisen in Des Moines - Medical
Jessica A Mathisen - NPI 1043365026
Jessica A Mathisen is a Medical in Des Moines, Iowa. Jessica A Mathisen practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica A Mathisen is 1043365026. The last update date is 2011-09-13.
Jessica A Mathisen's current location address is 1215 Pleasant Street, Des Moines, Iowa. You can contact this provider via phone number 5152415710 and fax number 5152418004. The mailing address for Jessica A Mathisen is 1215 Pleasant Street, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica A Mathisen |
|---|---|
| Address | 1215 Pleasant Street, Des Moines, Iowa |
| Phone Number | 5152415710 |
| Fax Number | 5152418004 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043365026 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2011-09-13 |
Provider Mailing Address Detail
| Address | 1215 Pleasant Street |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503901409 |
| Phone Number | 5152415710 |
| Fax Number | 5152418004 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1747 |
|
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 |
|---|---|---|---|
| 1747 | IA | PHYSICIAN ASSISTANCE LICE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessica A Mathisen by the Centers for Medicare & Medicaid Services?
The Jessica A Mathisen has been assigned the NPI (National Provider Identifier) 1043365026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jessica A Mathisen's facilities are geographically located?
The facilities of Jessica A Mathisen are physically situated at the following location: 1215 Pleasant Street, Des Moines, IA, 503901409.
What is Jessica A Mathisen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica A Mathisen's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did the Jessica A Mathisen receive its 1043365026?
The Jessica A Mathisen was issued its 1043365026 on 2007-01-23, which is the date when the organization was assigned this unique identifier.
When was the information related to Jessica A Mathisen most recently updated or refreshed?
The details pertaining to the Jessica A Mathisen, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-13.
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