JONELLE A MATTIS FNP-BC
NPI 1003331133
Nurse Practitioner - Family in Plantation, FL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since August 10, 2017

8201 PETERS RD STE 1000, PLANTATION, FL 33324(877) 964-9378 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2021, Jul 26, 2019, Aug 10, 2017 (3 updates tracked since 2017).

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About Jonelle A Mattis Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONELLE A MATTIS FNP-BC (NPI 1003331133) is an individual family provider in Plantation, Florida, licensed in Florida (ARNP9312189) and active in the NPI registry since August 2017. She maintains a secondary practice location in Lauderdale Lakes.

NPPES Registry Identity

NPI1003331133

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJONELLE A MATTISCredential: FNP-BC

Location Address8201 PETERS RD STE 1000Plantation, FL 33324-3266

Mailing Address4430 Nw 34th StLauderdale Lakes, FL 33319-5702 · (754) 422-2484

Phone(877) 964-9378

Sole ProprietorYes

Enumeration DateAugust 10, 2017

Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2021

✔ NPI 1003331133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9312189

8201 PETERS RD STE 1000, Plantation, FL 33324

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Secondary Practice Location 1

Location 14430 NW 34th StLauderdale Lakes, FL 33319-5702 · Phone (754) 422-2484

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP