Search › Virginia › 363LA2100X
Jessica Matis, DNP, APRN, ACNP-AG
NPI 1093164402 · on the registry since 2016
Practice
- Address
- Goodwin House
3440 S. Jefferson Street
Baileys Crossroads, VA 22041 - Phone
- (703) 820-1488
Additional practice sites
- 210 E Gray St, Louisville, KY
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia