Individual
JO ANN MULLICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 S PINEY RD, CHESTER, MD 21619-2619
(410) 643-3007
Mailing address
115 S PINEY RD, CHESTER, MD 21619-2619
(410) 643-3007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C003745
MD
Other
Enumeration date
08/22/2008
Last updated
04/20/2026
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