Mathis, Susan K

Mathis, Susan K is an individual health care provider with primary practice located at 615 Young Rd , Medon TN 38356-6850. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Mathis, Susan K can be contacted via phone (731) 437-9424.

Contact Information

Primary practice address
615 Young Rd Medon TN 38356-6850
Phone: (731) 437-9424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000147422 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X APN0000011878 Tennessee

Profile Details

NPI number 1659608222
LBN Legal business name Mathis, Susan K
Credentials RN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Oct 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659608222 NPPES
South Carolina MEDICAID 327877

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