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Individual
JACOB MULLAN
Active
Individual
JACOB MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R213462
MD
363LF0000X
Family Nurse Practitioner
R213462
MD
Other
Enumeration date
03/19/2021
Last updated
05/19/2026
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