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NPI Code Detail

MEDICARE: MS. JENNY E MULLEN FNP

MEDICARE: MS. JENNY E MULLEN FNP
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
1363LF0000XFamily Nurse Practitioner7000TN
2363LF0000XFamily Nurse Practitioner100380TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00020470OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811982242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNY E MULLEN FNP
Provider Business Mailing Address
First Line : 3024 BUSINESS PARK CIR
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-3132
Country : US
Telephone Number : 615-239-2018
Fax Number : 615-851-2018
Provider Business Practice Location Address
First Line : 300 20TH AVE N STE G1
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2132
Country : US
Telephone Number : 615-941-8550
Fax Number : 615-941-8507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/15/2024

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