Individual
DR. JEAN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 480-4949
(480) 460-5858
Mailing address
6285 S HIGLEY RD, GILBERT, AZ 85298-4262
(480) 480-4949
(480) 460-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30553
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00023340
BANNER HEALTH PLAN
—
01
—
1Z3150
HEALTHNET
—
01
—
737603
AHCCCS
AZ
01
—
7376030
DES
—
01
—
737603001
APIPA
—
01
—
AZ0725160
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
07/28/2020
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