Most Relevant Information
Provider Data
| NPI Number: | 1003331133 |
| Provider Name: | JONELLE A MATTIS FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP9312189 |
Most Important Dates
| Enumeration Date: | 08/10/2017 |
| Last Updated: | 09/24/2021 |
Provider Practice Location
8201 PETERS RD STE 1000
PLANTATION
FL
333243266
Practice Location Phone/Fax
| Phone: | 8779649378 |
| Fax: |
Provider Mailing Location
4430 NW 34TH ST
LAUDERDALE LAKES
FL
333195702
Provider Mailing Phone/Fax
| Phone: | 7544222484 |
| Fax: |