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Individual

DR. JENNIFER MAZZULLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
30 N MICHIGAN AVE STE 816, CHICAGO, IL 60602-3782
(312) 868-0700
(312) 868-0740
Mailing address
30 N MICHIGAN AVE STE 816, CHICAGO, IL 60602-3782
(312) 868-0700
(312) 868-0740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.389386
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.017056
IL

Other

Enumeration date
05/05/2017
Last updated
05/04/2026
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