Mathisen, Jessica A
Mathisen, Jessica A is an individual health care provider with primary practice located at 1215 Pleasant Street Suite 100, Des Moines IA 50390-1409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mathisen, Jessica A can be contacted via phone (515) 241-5710.Contact Information
Primary practice address
1215 Pleasant Street Suite 100
Des Moines IA 50390-1409
Phone: (515) 241-5710
Fax: (515) 241-8004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01747 | Iowa |
Profile Details
| NPI number | 1043365026 |
|---|---|
| LBN Legal business name | Mathisen, Jessica A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Sep 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043365026 | NPPES |
| Iowa | Other | 01747 | PHYSICIAN ASSISTANCE LICE |
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