Search › Georgia › 363LF0000X
Jennie Mathen, NP-C
NPI 1699132787 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4120 Five Forks Trickum Rd Sw Ste 105
Lilburn, GA 30047 - Phone
- (404) 778-0421
- Organisation at this address
- Gwinnett Pediatric Partners, Inc
Mountain East Family Medicine Pc
Greater Gwinnett Physician Practice CompanyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-12
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 Georgia