Individual
DR. JENNIFER LEIGH MULLENDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 COXE AVE, ASHEVILLE, NC 28801-3308
(828) 250-5000
(828) 250-6165
Mailing address
PO BOX 7407, ATTENTION: ACCOUNTING UNIT, ASHEVILLE, NC 28802-7407
(828) 250-5000
(828) 250-6165
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200600657
NC
208D00000X
General Practice Physician
2006-00657
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190513
MEDCOST
NC
05
—
5904408
—
NC
Enumeration date
06/15/2006
Last updated
07/12/2013
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