Individual
JAMIE J MULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
621 COURT ST STE 104, WEST BRANCH, MI 48661-8768
(989) 701-2293
(989) 701-2297
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704214196
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704214196
STATE LICENSE
MI
Enumeration date
01/13/2011
Last updated
11/10/2022
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