Jenna Marie Mattocks, PNP | |
610 30th Ave W, Alexandria, MN 56308-3426 | |
(320) 763-5123 | |
(320) 763-5749 |
Full Name | Jenna Marie Mattocks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 610 30th Ave W, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376909242 | NPI | - | NPPES |
1376909242 | Other | MN | NPI |
2074717 | Other | MN | RN LICENSE |
CNP 4319 | Other | MN | CNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | CNP 4319 (Minnesota) | Primary |
Entity Name | Douglas County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164424305 PECOS PAC ID: 0648171413 Enrollment ID: O20040115000387 |
Mailing Address | Practice Location Address |
---|---|
Jenna Marie Mattocks, PNP 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 | Jenna Marie Mattocks, PNP 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 |
Dr. Byron Howard Herdman, DNP, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 30th Ave W Ste 119, Alexandria, MN 56308 Phone: 320-762-6226 | |
Rachel Lee Arickx, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-2540 Fax: 320-763-5749 | |
Alisha Mae Colby-timm, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1610 8th Ave E, Alexandria, MN 56308 Phone: 320-335-6201 | |
Heather Renee Lucken Scholl, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-2540 | |
Megan Larsen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1527 Broadway St, Alexandria, MN 56308 Phone: 320-762-0399 | |
Julia Fiecke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 30th Ave W, Alexandria, MN 56308 Phone: 320-460-8028 Fax: 320-460-8029 | |
Andrea Tacheny, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1610 8th Ave E, Alexandria, MN 56308 Phone: 651-417-4966 |