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Jenny Mullis, NP
Family Nurse Practitioner in West Lafayette, Indiana
NPI 1952897118

Jenny Mullis is a Family Nurse Practitioner based in Muncie, IN and is specialized in Family. Jenny Mullis practices in West Lafayette, IN and has the professional credentials of NP. The NPI Number for Jenny Mullis is 1952897118 and holds a License No. 71008297B (Indiana).

The current practice location address for Jenny Mullis is 253 Sagamore Pkwy W, West Lafayette, IN and can be reached out via phone at 765-448-8000.

Location: 253 Sagamore Pkwy W, West Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952897118
Provider Name
Jenny Mullis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
253 Sagamore Pkwy W, West Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IN
PENDING 01 IN ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71008297B (Indiana)
Definition
Definition to come...
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