Ms Jessica Lynn Matis, DNP, APRN, ACNP-AG - Nurse Practitioner in Baileys Crossroads, VA

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Ms Jessica Lynn Matis, DNP, APRN, ACNP-AG is a Nurse Practitioner - Acute Care based in Baileys Crossroads, Virginia. Ms Jessica Lynn Matis is licensed to practice in Kentucky (license number 3010039) and her current practice location is Goodwin House, 3440 S. Jefferson Street, Baileys Crossroads, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 820-1488.

NPI number for Ms Jessica Lynn Matis is 1093164402 and her current mailing address is 2101 Mill Rd Apt 113, Alexandria, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093164402.

Contact Information

Ms Jessica Lynn Matis, DNP, APRN, ACNP-AG
Goodwin House, 3440 S. Jefferson Street,
Baileys Crossroads, VA 22041-2204
(703) 820-1488
Not Available

Map and Direction




Provider's Profile

Full NameMs Jessica Lynn Matis
GenderFemale
SpecialityNurse Practitioner - Acute Care
LocationGoodwin House, Baileys Crossroads, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093164402
  • Provider Enumeration Date: 06/07/2016
  • Last Update Date: 08/15/2019

Medical Identifiers

Medical identifiers for Ms Jessica Lynn Matis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093164402NPI-NPPES
201391850MedicaidIN
50112260OtherKYPASSPORT - NNIKY
0000001021475OtherKYANTHEM - NNIKY
215034OtherLASIHO - NNIKY
7100415610MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 3010039 (Kentucky)Secondary
363LA2100XNurse Practitioner - Acute Care 3010039 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jessica Lynn Matis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jessica Lynn Matis, DNP, APRN, ACNP-AG
2101 Mill Rd Apt 113,
Alexandria, VA 22314-5318

Ph: (573) 450-1334		Ms Jessica Lynn Matis, DNP, APRN, ACNP-AG
Goodwin House, 3440 S. Jefferson Street,
Baileys Crossroads, VA 22041-2204

Ph: (703) 820-1488

Reviews and Comments


Nurse Practitioner Nurses in Baileys Crossroads, VA


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