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JANE MATTINA N.P. NPI 1700254562


NPI Information

NPI: 1700254562
Provider Name: JANE MATTINA, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEMORIAL HOSPITAL AT GULFPORT

PECOS Registration: Yes

Address:
2781 CT SWITZER SR DRIVE
SUITE 402
BILOXI, MS
ZIP 39531
Phone: (228) 575-2636
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Jane Mattina, N.P. is a family nurse practitioner in Biloxi, MS with 9 years of experience. Jane Mattina, N.P. NPI is 1700254562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2781 CT SWITZER SR DRIVE
SUITE 402
BILOXI, MS
ZIP 39531-637
Phone: (228) 575-2636

The NPI 1700254562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyR883056MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.