Individual
JENNIFER MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 966-8999
(313) 966-0665
Mailing address
4201 ST. ANTOINE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704223705
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704223705
MI
Other
Enumeration date
03/29/2007
Last updated
10/10/2023
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