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General NPI Number Information
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NPI Number | 1295483071
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Entity Type | Individual
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Provider Name | ANNA MCMULLEN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 12293 SAVANNAH CIR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5678
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Country | US
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Telephone | 443-834-9582
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Fax |
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Provider Business Mailing Address
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Address Line | 12293 SAVANNAH CIR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5678
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Country | US
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Telephone | 443-834-9582
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11018549
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 77990
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F404465-01
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G177146
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-82767-112
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61282990
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License Number State | WA
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