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Individual
JACQUELINE RUTH MULLEN
Active
Individual
JACQUELINE RUTH MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.A.,R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
576894-01
NY
163WC0400X
Case Management Registered Nurse
576894-01
NY
163WC1500X
Community Health Registered Nurse
576894-01
NY
163WH0200X
Home Health Registered Nurse
576894-01
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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