Individual provider · Type 1 NPI

Jackie Mae Mathews, NP

Neonatal Nurse Practitioner · La Crosse, WI

NPI number 1679461081 Active

Practice location

1900 South Ave
La Crosse, WI 54601-5467

Mailing address

17208 Kendall Ave
Norwalk, WI 54648-7002

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X16966-33 (WI)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1679461081

Jackie Mae Mathews, NP's National Provider Identifier is 1679461081, issued on Jun 25, 2025. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in La Crosse, WI. The record was last updated on Sep 11, 2026.