Mrs Jennifer Jean Mata, CNP | |
1414 Stewart Rd, Monroe, MI 48162-9228 | |
(734) 242-8880 | |
Not Available |
Full Name | Mrs Jennifer Jean Mata |
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Gender | Female |
Speciality | Registered Nurse - Gerontology |
Location | 1414 Stewart Rd, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831738079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0600X | Registered Nurse - Gerontology | 4704305266 (Michigan) | Primary |
Entity Name | Advanced Heart & Vascular Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437511573 PECOS PAC ID: 0941509806 Enrollment ID: O20160427000452 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Jean Mata, CNP 770 Mildred Ave, Temperance, MI 48182-9203 Ph: (734) 244-2353 | Mrs Jennifer Jean Mata, CNP 1414 Stewart Rd, Monroe, MI 48162-9228 Ph: (734) 242-8880 |
Janice Stotz, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3568 N Custer Rd, Monroe, MI 48162 Phone: 734-242-3671 | |
Mrs. Ellen Germaine Graves, R.N Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4965 N Stoney Creek Rd, Monroe, MI 48162 Phone: 734-384-8713 | |
Joel Welch, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1338 Calgary Dr, Monroe, MI 48162 Phone: 313-452-4828 | |
Selena Metcalf, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14733 S Telegraph Rd, Monroe, MI 48161 Phone: 734-243-8707 | |
Rachelle Annette Maxwell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2742 Heiss Rd, Monroe, MI 48162 Phone: 734-240-0520 | |
Mrs. Tammara Lynn Schober, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 S Raisinville Rd, Monroe, MI 48161 Phone: 734-242-5799 | |
Lisa Bradley, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340 Fax: 734-243-2705 |