Jennifer L Boyd-Mullineaux, PA-C
Physician Assistant, Medical in Bridgeport, Connecticut
1881703940- Practice location
- 211 State St, Bridgeport, CT 06604-4808
- Phone
- 203-366-0664
- Fax
- 203-394-6784
- Last updated
- January 10, 2014
Jennifer L Boyd-Mullineaux is a Physician Assistant, Medical based in Bridgeport, CT. Jennifer L Boyd-Mullineaux practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for Jennifer L Boyd-Mullineaux is 1881703940 and holds a License No. 001304 (CT). The current practice location address for Jennifer L Boyd-Mullineaux is 211 State St, Bridgeport, CT 06604-4808 and can be reached out via phone at 203-366-0664 and via fax at 203-394-6784.
Provider Profile Details
- NPI Number
- 1881703940
- Provider Name
- Jennifer L Boyd-Mullineaux
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 211 State St, Bridgeport, CT 06604-4808
- Phone Number
- 203-366-0664
- Fax Number
- 203-394-6784
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- -- Jennifer Boyd-Mullineaux (Other Name)
- Provider Enumeration Date
- August 30, 2006
- Last Update Date
- January 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 211 State St
Bridgeport, CT 06604-4808 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06604-4808
- Phone Number
- 203-366-0664
- Fax Number
- 203-394-6784
Provider Business Mailing Address Details
- Address
- 345 Whitney Ave
New Haven, CT 06511-2348 - City
- New Haven
- State
- CT
- Zip
- 06511-2348
- Phone Number
- 203-752-8785
- Fax Number
- 203-752-3878
License Information
- License Number (1)
- 001304
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer L Boyd-Mullineaux, PA-C?
The NPI number of Jennifer L Boyd-Mullineaux, PA-C is 1881703940. It was assigned on August 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Boyd-Mullineaux, PA-C?
Jennifer L Boyd-Mullineaux, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001304.
Where does Jennifer L Boyd-Mullineaux, PA-C practice?
The practice location is 211 State St, Bridgeport, CT 06604-4808. The office can be reached at 203-366-0664 (phone) or 203-394-6784 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881703940 directly on the NPPES registry website.