Individual
JESSICA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
176 TOLL GATE RD, SUITE 101, WARWICK, RI 02886-4482
(401) 737-9240
(401) 737-9271
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00944
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942616719
—
RI
01
—
709004047
MEDICARE GROUP PTAN
RI
Enumeration date
07/01/2014
Last updated
04/04/2024
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