Individual provider · Type 1 NPI

Jonathan Maten

Medical Physician Assistant · Fort Liberty, NC

NPI number 1215595665 Active

Practice location

X-3973 Urban Freedom Drive
Fort Liberty, NC 28310-0001

Call (910) 643-8778 Map

Mailing address

2817 Rock Merrit Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1215595665

Jonathan Maten's National Provider Identifier is 1215595665, issued on May 31, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Liberty, NC. The record was last updated on Aug 29, 2025.