Jennifer Lynn Mullally
MD | Pediatrics | Female
Jennifer Lynn Mullally, MD is a Fargo, North Dakota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Lynn Mullally is
1702 University Dr S, Fargo, North Dakota - 58103-4940. She can be contacted on phone at
701-364-3300 and fax number 701-364-8906.
Jennifer Lynn Mullally is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Lynn Mullally is
1871814863 which was assigned by NPPES on 14 Jun, 2010 and it was last updated on 11 Nov, 2013.
Jennifer Lynn Mullally license number is
12728 for Pediatrics (208000000X) in North Dakota.
Jennifer Lynn Mullally is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Lynn Mullally basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Lynn Mullally |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer Lynn Mullally address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1702 University Dr S
Fargo, ND, 58103-4940
United States |
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| Phone Number : | 701-364-3300 |
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| Fax Number : | 701-364-8906 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1871814863 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2010 |
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| Last Updated On : | 11 Nov, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Lynn Mullally are as mentioned. Primary taxonomy code for Jennifer Lynn Mullally, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | MN |
| 208000000X | Pediatrics | No | 54202 | MN |
| 208000000X | Pediatrics | Yes | 12728 | ND |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Lynn Mullally such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 18249 | MEDICAID | ND | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 6001
Fargo, ND, 58108-6001
United States |
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| Phone Number : | 701-364-3300 |
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| Fax Number : | 701-364-8906 |
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Business Location:
Patients can refer following map for directions to
Jennifer Lynn Mullally practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.