NPI 1104776475

Pertniesha Mathis

Practitioner Phlebotomy Technician Jacksonville, FL

Practice location

Address: 5501 Wesconnett Blvd # 7553, Jacksonville, FL 32244-1908
Phone: (904) 598-9431

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence S4X6C2P4 (FL)

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Registry record

NPI: 1104776475
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2026
Record last updated: 28 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.