Individual
JESSICA HOPE MULLENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 402, RALEIGH, NC 27607-7513
(919) 784-5600
(919) 784-5601
Mailing address
4414 LAKE BOONE TRL, SUITE 402, RALEIGH, NC 27607-7513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006953
NC
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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