Individual provider · Type 1 NPI
Jennifer Mullins, CPNP
Pediatric Nurse Practitioner · Raleigh, NC
NPI number
1366280349
Active
Practice location
2605 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6475
Mailing address
2601 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5020437 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1366280349
Jennifer Mullins, CPNP's National Provider Identifier is 1366280349, issued on Jul 16, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Raleigh, NC. The record was last updated on Jul 16, 2024.