Individual
JADE LAUREN MULVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-4220
(984) 974-0210
Mailing address
4396 S ASHFORD DR, SALT LAKE CITY, UT 84124-2504
(801) 755-9140
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213205200
—
UT
01
—
UUG900262737
REGENCE BLUE CROSS BLUE SHIELD
UT
Enumeration date
01/18/2023
Last updated
04/21/2025
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