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Individual

JOY THERESE MULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
506 6TH ST, EP2, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-3153
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-3153

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
F306016-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306016-1
NY

Other

Enumeration date
09/06/2012
Last updated
11/06/2012
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