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Jacqueline Mathis, REGISTERED INTERN

NPI 1194512293 · on the registry since 2025

Practice

Address: 319 W Town Pl Ste 21
St Augustine, FL 32092
Phone: (904) 640-9099
Organisation at this address: Steven R. Freeman Dds Pl
Ecsa Optical Company, Llc
Genesis Health Development, Inc.
Mindy'S Massage And Wellness, Llc
Village Pediatrics Of St Augustine Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida