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Individual

JAMIE MULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 456-6506
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9322145
FL
363LF0000X
Family Nurse Practitioner
APRN9322145
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110942000
FL
Enumeration date
03/08/2018
Last updated
06/16/2026
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