Individual
KERRY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
475 OSCEOLA ST, SUITE 1100, ALTAMONTE SPRINGS, FL 32701-7857
(407) 831-6200
(407) 831-1068
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(407) 831-6200
(407) 831-1068
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN2521862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001390400
—
FL
Enumeration date
03/19/2007
Last updated
02/02/2021
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