| Doctor Name: | KERI J JONES MATHEUS |
| NPI Number: | 1083687586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | W.H.N.P. |
| License Number: | R850667 |
| Business Practice Address: | 45 Sugar Sand Lane Suite A Santa Rosa Beach, FL - 324597482 |
| Business Phone Number: | 8505344170 |
| Business Fax Number: | 8505344174 |
| Mailing Address: | 45 Sugar Sand Lane, Suite A SANTA ROSA BEACH |
| State: | FL |
| Postal Code: | 324597482 |
| Phone Number: | 8505344170 |
| Fax Number: | 8505344174 |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 12/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | R850667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |