Individual provider · Type 1 NPI
Jennifer Mazzulli, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1578099800
Active
Practice location
30 N Michigan Ave Ste 816
Chicago, IL 60602-3782
Fax (312) 868-0740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.389386 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.017056 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1578099800
Jennifer Mazzulli, DNP, PMHNP-BC's National Provider Identifier is 1578099800, issued on May 5, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2026.