MEDICARE: MRS. HADASSAH LEMORAH MATTHEWS APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	1216378	TX
2	363LF0000X	Family Nurse Practitioner	1216378	TX

General Provider Information

NPI Number	:	1124996277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HADASSAH LEMORAH MATTHEWS APRN, FNP-C

Provider Business Mailing Address
First Line	:	3500 HILLCREST DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3157
Country	:	US
Telephone Number	:	254-741-6641
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 HILLCREST DR STE 1
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3144
Country	:	US
Telephone Number	:	254-741-6641
Fax Number	:	254-537-4693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	12/10/2025

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