person
Jenna Marie Mattocks, PNP
Pediatric Nurse Practitioner in Alexandria, Minnesota
NPI 1376909242

Jenna Marie Mattocks is a Pediatric Nurse Practitioner based in Alexandria, MN and is specialized in Pediatrics. Jenna Marie Mattocks practices in Alexandria, MN and has the professional credentials of PNP. The NPI Number for Jenna Marie Mattocks is 1376909242 and holds a License No. CNP 4319 (Minnesota).

The current practice location address for Jenna Marie Mattocks is 610 30Th Ave W, Alexandria, MN and can be reached out via phone at 320-763-5123 and via fax at 320-763-5749.

Location: 610 30Th Ave W, Alexandria, MN, 56308-3426
person
Provider Profile Details
NPI Number
1376909242
Provider Name
Jenna Marie Mattocks
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
610 30Th Ave W, Alexandria, MN, 56308-3426
Phone Number
320-763-5123
Fax Number
320-763-5749
Provider Enumeration Date
01/07/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376909242 01 MN NPI
2074717 01 MN RN LICENSE
CNP 4319 01 MN CNP LICENSE
institution
Provider Business Practice Location Address Details
Address
610 30Th Ave W
City
State
Zip
56308-3426
Phone Number
320-763-5123
Fax Number
320-763-5749
person
Provider Business Mailing Address Details
Address
610 30Th Ave W
City
State
Zip
56308-3426
Phone Number
320-763-5123
Fax Number
320-763-5749
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
CNP 4319 (Minnesota)
Definition
Definition to come...
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