Individual provider · Type 1 NPI

Jennifer Mullis, CNP

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1902925720 Active

Practice location

3901 Beaubien, Children's Hospital Of Mi
Detroit, MI 48201-2119

Fax (313) 966-0665

Mailing address

4201 St. Antoine Uhc 5D, University Pediatricians
Detroit, MI 48201

Other practice locations

  • 44201 Dequindre Rd, Troy, MI 48085-1117 · (248) 964-4044

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704223705 (MI)
Nurse Practitioner 363L00000X4704223705 (MI)

Pediatric Nurse Practitioner: Definition to come...

60 other providers at this address

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About NPI 1902925720

Jennifer Mullis, CNP's National Provider Identifier is 1902925720, issued on Mar 29, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Oct 10, 2023.