DR. JESSICA MULLINS


Address: 300 W Hospital Rd, Ddeamc Gme Office, Fort Gordon, GA 30905-5741
Phone: 5025176135

DR. JESSICA MULLINS (NPI# 1043652514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043652514
Entity Type Individual
Full Name DR. JESSICA MULLINS
Credential D.O.
Practice Address 300 W Hospital Rd
Ddeamc Gme Office
Fort Gordon
GA 30905-5741
Mailing Address 304 Summerfield Cir
Grovetown
GA 30813-2206
Practice Telephone 5025176135
Mailing Telephone 5025176135
Enumeration Date 2013-07-24
Last Update Date 2013-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JESSICA MULLINS

NPI Name Taxonomy Address Enumeration
1356963375 Jessica Lena Mullins Social Worker 109 W Upper Ferry Rd Fl 1, Ewing, NJ 08628-2725 2020-05-13
1497265656 Jessica Paige Mullins Home Health Aide 37 State Route 784, South Shore, KY 41175-9785 2017-10-02
1376161786 Jessica Danielle Mullins Counselor 411 Court St, Portsmouth, OH 45662-3932 2020-07-13
1558980870 Jessica Mullins Student in an Organized Health Care Education/Training Program 200 E State St, Alliance, OH 44601-4936 2020-04-16
1154961241 Jessica Mullins Pharmacist 1105 S Main St, Kernersville, NC 27284-7478 2020-01-07
1407310238 Jessica Mullins Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2019-01-25
1093195323 Jessica Mullins Social Worker 275 Cumberland Bnd, Nashville, TN 37228-1805 2015-06-02
1942691407 Jessica L Mullins Pharmacist 11290 W Broad St, Glen Allen, VA 23060-5815 2015-02-05
1942616719 Jessica Mullins Registered Nurse 176 Toll Gate Rd, Suite 101, Warwick, RI 02886-4482 2014-07-01
1790105120 Jessica Hinch Mullins Emergency Medicine 3555 S Val Vista Dr, Gilbert, AZ 85297-7323 2014-04-24

Office Location

Street Address 300 W HOSPITAL RD
DDEAMC GME OFFICE
City FORT GORDON
State GA
Zip Code 30905-5741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922007467 John Keenan Wilson Internal Medicine 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 2005-07-18
1629687751 Benjamin Lee Tigges Nurse Anesthetist, Certified Registered 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-07-24
1104441179 Gia-thien H Nguyen Student in an Organized Health Care Education/Training Program 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-06-15
1184249765 Roman Avila Student in an Organized Health Care Education/Training Program 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-06-10
1417572116 Francesco Anthony Biolzi Student in an Organized Health Care Education/Training Program 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-06-09
1114568268 Ryan Sever Psychologist 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2019-09-30
1801446497 Seth Randall Nurse Practitioner 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2019-09-16
1275188179 Jason Celestino Nurse Anesthetist, Certified Registered 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2019-08-07
1467011668 Angelina Kathleen Trush Student in an Organized Health Care Education/Training Program 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2019-06-11
1790271989 Joshua Orszag Nurse Anesthetist, Certified Registered 300 W Hospital Rd, Fort Gordon, GA 30905-5741 2018-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
1740754308 Patricia Lynn Blevins Nurse Practitioner 300 E Hospital Dr, Augusta, GA 30905 2019-01-17
1861971335 Isabella Anderson Dentist Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 2018-08-07
1972097426 Cortney Wolfley Student in an Organized Health Care Education/Training Program Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 2018-06-19
1003337536 David Jonathon Sabovich Dentist 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 2017-07-06
1437689411 Marcos Aranda Student in an Organized Health Care Education/Training Program General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 2017-06-13
1659809846 Brian Kevin Burke Student in an Organized Health Care Education/Training Program 300 East Hosptial Road, Fort Gordon, GA 30905 2017-06-01
1902334469 Jacqueline Renee Mulhall Student in an Organized Health Care Education/Training Program Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 2017-05-30
1750837456 Amanda R Bailey Internal Medicine 300 E. Hospital Dr., Fort Gordon, GA 30905 2016-09-01
1689120016 Thomas S Moffitt Internal Medicine Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 2016-08-26
Find all providers in zip 30905

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083230387 William Edward Bane Student in an Organized Health Care Education/Training Program 320 W Hospital Rd, Fort Gordon, GA 30905-5741 2020-06-23
1972125763 Mark Edward Gartner Student in an Organized Health Care Education/Training Program Internal Medicine Residency, Dwight D. Eisenhower Army, Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2020-05-14
1184284598 Nicholas James Carlin Student in an Organized Health Care Education/Training Program Medicine, Dwight David Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2019-06-18
1700446341 Nicholas John Carter Student in an Organized Health Care Education/Training Program Eisenhower Army Medical Center Gme, 300 E. Hospital Rd, Fort Gordon, GA 30905-5650 2019-06-17
1306405931 Kevin Ryan Patrick Student in an Organized Health Care Education/Training Program Interserive Physician Assitant Program, 300 East Hospital Road, Fort Gordon, GA 30905-5670 2019-06-07
1366009805 Briana Francina Krieger Student in an Organized Health Care Education/Training Program 300 East Hospical Road, Fort Gordon, GA 30905-5650 2019-05-21
1639735822 Jon Thomas Heald Student in an Organized Health Care Education/Training Program Internal Medicine, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 2019-05-14
1487218269 David Keith Mecham Student in an Organized Health Care Education/Training Program Internal Medicine, Dwight David Eisenhower Army Medical, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2019-04-26
1740765544 Jesse Goldblatt Student in an Organized Health Care Education/Training Program Clinical Psychology Internship Program, Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905-5650 2018-09-27
1902390065 Rafael Jacob Kaplan Student in an Organized Health Care Education/Training Program Ty, Dwight David Eisenhower Army Medical Center, 300 East Hospital Rd, Fort Gordon, GA 30905-5650 2018-06-21
Find all providers in FORT GORDON

Competitor

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City FORT GORDON
Zip Code 30905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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