Individual ProviderJennifer MullinsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2605 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6475(919) 881-9009PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Mullins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1366280349Provider TypeIndividualFull NameMullins, JenniferCredentialCPNPGenderFemaleSole ProprietorYesEnumeration Date7/16/2024Last Updated7/16/2024Contact InformationPractice LocationPractice Address2605 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6475Phone(919) 881-9009FaxUnlisted FaxMailing LocationMailing Address2601 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6481Phone(919) 881-9009FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0200XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5020437North Carolina