Healthcare Provider Details

I. General information

NPI: 1447184031
Provider Name (Legal Business Name): MRS. JESSICA MATHE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CARPENTER LN
IRWIN PA
15642-1210
US

IV. Provider business mailing address

1213 GIULIA DR
IRWIN PA
15642-4184
US

V. Phone/Fax

Practice location:
  • Phone: 412-919-7707
  • Fax:
Mailing address:
  • Phone: 412-334-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: