Provider Demographics
NPI:1124576095
Name:MATTHEWS, BLESSING JIM (MBPA, BS, BSN,RN,FNP)
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:JIM
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MBPA, BS, BSN,RN,FNP
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Mailing Address - Street 1:8855 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2924
Mailing Address - Country:US
Mailing Address - Phone:240-770-7774
Mailing Address - Fax:240-770-3161
Practice Address - Street 1:8855 ANNAPOLIS RD
Practice Address - Street 2:SUITE 305
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2924
Practice Address - Country:US
Practice Address - Phone:240-770-7774
Practice Address - Fax:240-770-3161
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2025-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR129320163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice