Individual provider · Type 1 NPI

Jennifer Berry Matthesen, MD

Plastic Surgery Physician · Ponte Vedra, FL

NPI number 1174931463 Active

Practice location

380 Town Plaza Ave Ste 410
Ponte Vedra, FL 32081-5177

Fax (904) 285-3931

Mailing address

112 Bristol Pl
Ponte Vedra Beach, FL 32082-1523

Other practice locations

  • 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 · (321) 727-3223

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X53345 (CT)
Surgery Physician 208600000X277360 (NY)
Plastic Surgery Physician Primary 208200000XME132012 (FL)
Surgery Physician 208600000XA83217 (CA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

About NPI 1174931463

Jennifer Berry Matthesen, MD's National Provider Identifier is 1174931463, issued on Jul 30, 2014. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Apr 28, 2026.