Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MATHIS, MD
ActiveJENNIFER MATHIS, MD is a 2083A0300X healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1548304892 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1548304892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2007 (19.471683467578 yrs)
- Last Updated
- Jun 23, 2021
- Licenses
-
25428 (OK)54065 (AZ)25428 (OK)
Practice Information
- Address
-
1400 E DOWNING STTAHLEQUAH, OK, 744643324Browse OK providers · Browse ZIP 74464
- Phone
- 9184560641
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Family Medicine
- Additional Specialty
- 2083A0300X
Other 2083A0300X Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JASON JASPER BALLEW | MD | 1235146036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.