MS. KRISTINE L. JESSEN-MATHER NP #NPF4647
NPI 1942307673
Nurse Practitioner - Pediatrics in Grass Valley, CA
Active since September 17, 2006
140 LITTON DR. #100, GRASS VALLEY, CA 95945(530) 477-4016(530) 477-4018 Get Directions Write a Review
About Ms. Kristine L. Jessen-mather Np #npf4647 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTINE L. JESSEN-MATHER NP #NPF4647 (NPI 1942307673) is an individual pediatrics provider in Grass Valley, California, licensed in California (NP 4647) and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1942307673
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KRISTINE L. JESSEN-MATHERCredential: NP #NPF4647
Location Address140 LITTON DR. #100Grass Valley, CA 95945
Mailing Address140 Litton Dr. #100, Po Box 459001Grass Valley, CA 95945 · (530) 477-4016 · Fax (530) 477-4018
Phone(530) 477-4016
Fax(530) 477-4018
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1942307673 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · NP 4647
Other Names 1
Other Name (5)Ms. Kris L. Jessen-mather Np #npf4647
Other Identifiers 1
OtherNP 4647CA · Nurse Pract. Certificatio
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942307673, enumerated as an "individual" on September 17, 2006.
The provider is located at 140 LITTON DR. #100 GRASS VALLEY, CA 95945 and the phone number is (530) 477-4016.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.