Individual provider · Type 1 NPI

Jaison Mathew

Acute Care Nurse Practitioner · Dallas, TX

NPI number 1891256996 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

1217 Covington Dr
Mesquite, TX 75149-8405

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP140850 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1891256996

Jaison Mathew's National Provider Identifier is 1891256996, issued on Mar 29, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Mar 29, 2019.