Nurse Practitioner, Pediatrics
JENNA MATTOCKS PNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1376909242 · enumerated 2016-01-07 · record updated 2024-10-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 610 30TH AVE W, ALEXANDRIA, MN, 56308-3426 (320) 763-5123 Fax (320) 763-5749 Google Maps Apple Maps OpenStreetMap
- Mailing address 610 30TH AVE W, ALEXANDRIA, MN, 56308-3426 (320) 763-5123 Fax (320) 763-5749 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License CNP 4319 MN
In this directory
Locations and evidence
-
Practice location
ALEXANDRIA, MN, 563083426
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.