Individual provider · Type 1 NPI

Jothy Mathew

Registered Nurse · Detroit, MI

NPI number 1083575799 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

2322 Arcadia Dr
Canton, MI 48188-2277

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN9255683 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083575799

Jothy Mathew's National Provider Identifier is 1083575799, issued on Nov 21, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 21, 2025.