Individual
MRS. JENNIFER LYNN MULBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-2591
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 544-3131
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2481291
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03275147
—
NY
Enumeration date
07/30/2006
Last updated
11/21/2025
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