Individual
JENNIFER L BOYD-MULLINEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 STATE ST, BRIDGEPORT, CT 06604-4808
(203) 366-0664
(203) 394-6784
Mailing address
345 WHITNEY AVE, NEW HAVEN, CT 06511-2348
(203) 752-8785
(203) 752-3878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001304
CT
363AM0700X
Medical Physician Assistant
Primary
—
CT
Other
Enumeration date
08/30/2006
Last updated
01/10/2014
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