Individual
JENNIFER REINOVSKY MULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PATEWOOD DR STE 130, GREENVILLE, SC 29615-6317
(864) 455-8988
(864) 455-4540
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
(864) 522-8602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
83342
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833424
—
SC
01
—
SCI7337652
MEDICARE PIN
SC
Enumeration date
03/31/2016
Last updated
11/19/2021
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