Individual provider · Type 1 NPI

Jennie Mathen, NP-C

Family Nurse Practitioner · Lilburn, GA

NPI number 1699132787 Active

Practice location

4120 Five Forks Trickum Rd SW Ste 105
Lilburn, GA 30047-8975

Call (404) 778-0421 Map

Mailing address

1897 Innsfail Dr
Snellville, GA 30078-2525

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XRN224236 (GA)
Family Nurse Practitioner Primary 363LF0000XRN224236 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1699132787

Jennie Mathen, NP-C's National Provider Identifier is 1699132787, issued on Jan 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lilburn, GA. The record was last updated on Dec 12, 2025.