Individual
MRS. STEPHANIE C MULLENNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CEN, AGCNS-BC
Contact information
Practice address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8233
(616) 957-3320
Mailing address
8938 COTTONWOOD DR, JENISON, MI 49428-9510
(616) 325-0069
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704230534
MI
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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