Individual provider · NPI-1
Jodi Mullen, RN
Clinical Nurse Specialist · Gainesville, FL
NPI number1093454878
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1093454878
- Entity type
- Individual (NPI-1)
- Name
- Jodi Mullen
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2022
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | APRN9334247 | FL | Yes |
Practice location
1600 Sw Archer RdGainesville, FL 32610-3003
Phone 352-265-8805
Mailing address
524 Nw 89th StGainesville, FL 32607-1453
Phone 937-689-5818
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