DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOLLY M MULLANEY PA-C

MEDICARE: MOLLY M MULLANEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9106964FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336483015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY M MULLANEY PA-C
Provider Business Mailing Address
First Line : 2316 INDIAN SPRINGS DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-4184
Country : US
Telephone Number : 919-302-9524
Fax Number :
Provider Business Practice Location Address
First Line : 6555 CHESTER AVE STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2279
Country : US
Telephone Number : 904-265-8209
Fax Number : 904-503-3577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 10/07/2025

Similar Medicare Providers

1548886153 — MEGHAN LEIGH CHISLETT APRN
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-265-8209
Practice Fax:
1679513477 — DAVID J SAMARA MD
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-309-6504
Practice Fax: 904-503-3577
1932136314 — FIRST COAST LTC INC
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-309-6504
Practice Fax: 904-503-3577
1336214600 — ANNE M PETERSEN PA
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-265-8209
Practice Fax: 904-503-3577
1801149984 — ANDREA L HOFF PA-C
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-265-8209
Practice Fax: 904-503-3577
1881938991 — MIRIAN ANTELO COUCH PA-C
Practice Location Address:
6555 CHESTER AVE STE 1
JACKSONVILLE, FL
32217-2279
Practice Phone: 904-309-6504
Practice Fax: 904-503-3577

Directions to “ MOLLY M MULLANEY PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.