Individual
JENNIFER MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2605 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6475
(919) 881-9009
Mailing address
2601 BLUE RIDGE RD STE 100, RALEIGH, NC 27607-6481
(919) 881-9009
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5020437
NC
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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