Individual
JILL MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P.
Contact information
Practice address
3800 56TH AVE S, FARGO, ND 58104-6706
(701) 356-1500
(701) 356-1596
Mailing address
3800 56TH AVE S, FARGO, ND 58104-6706
(701) 356-1500
(701) 356-1596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31131
ND
363LF0000X
Family Nurse Practitioner
7756
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7756
MN
Other
Enumeration date
01/11/2012
Last updated
06/19/2025
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