Individual
LAUREN MULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
2309 STURGEON ST, JOHNS ISLAND, SC 29455-9022
(314) 941-3547
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
24719
SC
363LN0000X
Neonatal Nurse Practitioner
25632
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
25632
TN
Other
Enumeration date
03/20/2019
Last updated
11/11/2021
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