Individual
JENNIFER N MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000
Mailing address
224 W EXCHANGE ST, SUITE 220, AKRON, OH 44302-1704
(330) 344-6401
(330) 344-1714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN311830
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000739098
ANTHEM
OH
05
—
0056378
—
OH
Enumeration date
09/22/2011
Last updated
10/14/2016
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