Provider Demographics
NPI:1972161313
Name:MATHEWS, DAYLE ELIZABETH (APRN)
Entity type:Individual
Prefix:
First Name:DAYLE
Middle Name:ELIZABETH
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 PRUDENTIAL DR STE 1900
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8373
Mailing Address - Country:US
Mailing Address - Phone:904-633-0930
Mailing Address - Fax:904-633-0931
Practice Address - Street 1:841 PRUDENTIAL DR STE 1900
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8373
Practice Address - Country:US
Practice Address - Phone:904-633-0930
Practice Address - Fax:904-633-0931
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily