Jennifer Diane Mata
Nurse Practitioner - Family
2121 Lake Ave, Fort Wayne
Indiana, 46805-5100
260-426-5431
Jennifer Diane Mata is a Fort Wayne, Indiana based nurse practitioner who is specialized as Family nurse. Active license number of Jennifer Diane Mata is 71014672A in Indiana. Her current practice location is 2121 Lake Ave, Fort Wayne. Patients can reach her at 260-426-5431 with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1922747294.
Jennifer Diane Mata delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Jennifer Diane Mata speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Diane Mata |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Practice Address: | 2121 Lake Ave, Fort Wayne,
Indiana, 46805-5100 |
| Phone: | 260-426-5431 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922747294 |
| NPI Enumeration Date: | 03 Jun, 2022 |
| NPI Last Update On: | 17 May, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Diane Mata are as mentioned below.
| License Number | Specialization | State | Status | |
| 71014672A | | Indiana | Primary | |
| 71014672A | Family | Indiana | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Diane Mata
2121 Lake Ave,
Fort Wayne, Indiana |
| Zip: | 46805-5100 |
Patients can reach Jennifer Diane Mata at
2121 Lake Ave, Fort Wayne, Indiana or can
call to book an appointment on 260-426-5431.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.