Individual
JENNA MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 ROUTE 73 S STE 300, MARLTON, NJ 08053-9644
(856) 574-4043
Mailing address
117 MOUNT VERNON DR, CINNAMINSON, NJ 08077-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00825000
NJ
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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