Individual provider · Type 1 NPI
Jaiba Paul Mathew, AGACNP-BC
Acute Care Nurse Practitioner · Atlanta, GA
NPI number
1669090460
Active
Practice location
980 Johnson Fy Rd NE
Atlanta, GA 30342-1626
Fax (404) 252-0256
Mailing address
840 Streamview Way
Alpharetta, GA 30004-5954
Other practice locations
- 5665 Peachtree Dunwoody, Atlanta, GA 30342-1764 · (678) 843-7001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN207189 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN207189 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669090460
Jaiba Paul Mathew, AGACNP-BC's National Provider Identifier is 1669090460, issued on Jul 8, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2020.