Individual
JENNIFER M MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2720 PLAZA DR, #2100, WAUSAU, WI 54401-4158
(715) 847-2475
Mailing address
2720 PLAZA DR, #2100, WAUSAU, WI 54401-4158
(715) 847-2475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
38821
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43958500
—
WI
Enumeration date
07/31/2006
Last updated
04/27/2015
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