| 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 |
|---|---|
| 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 |
Kelly Renee Powell, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1527 Broadway St, Alexandria, MN 56308 Phone: 320-762-0399 | |
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 | |
Rachel Ann Earley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 702 34th Ave E, Alexandria, MN 56308 Phone: 320-762-2400 | |
Erin Marie Viere Lester, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 22nd Ave E Ste 103, Alexandria, MN 56308 Phone: 952-999-0333 |