Individual
JASON ISAAC MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 DAN AVE, CANAL FULTON, OH 44614-9310
(330) 313-0124
Mailing address
456 DAN AVE, CANAL FULTON, OH 44614-9310
(330) 313-0124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027741
OH
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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