Provider Demographics
NPI:1174377964
Name:MATTHEWS, YOSHI DAWN
Entity type:Individual
Prefix:
First Name:YOSHI
Middle Name:DAWN
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 PAIGE PARK LN
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3181
Mailing Address - Country:US
Mailing Address - Phone:901-656-0033
Mailing Address - Fax:901-695-9217
Practice Address - Street 1:121 PAIGE PARK LN
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3181
Practice Address - Country:US
Practice Address - Phone:901-656-0033
Practice Address - Fax:901-695-9217
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator