DR. JESSICA LEE MULLINS (NPI# 1104081371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104081371 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LEE MULLINS |
| Credential | MD |
| Practice Address |
171 Ashley Ave Charleston SC 29425-7201 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Q2470 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 149792 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
81920 | SC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
81920 | SC | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1386760080 | Jason Gunn | Internal Medicine | 125 Doughty St Ste 200, Charleston, SC 29403-5727 | 2007-03-22 |
| 1285607382 | Mahendrakumar M. Patel | Internal Medicine | 6 Hunters Point Rd, Charleston, WV 25314-1631 | 2006-02-09 |
| 1285623108 | David A Adkins | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2005-10-14 |
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1134122112 | Michael Alan Spandorfer | Internal Medicine | 2097 Henry Tecklenburg Dr, Ste 305, Charleston, SC 29414-5744 | 2005-05-24 |
| 1871021790 | Jose Emmanuel Palo | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-24 |
| 1063958114 | Majdi S. Al Nabulsi | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2017-01-12 |
| 1063829349 | Vikhyath Terla | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2014-07-17 |
| 1912278466 | Manasi Solanki Singh | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425 | 2012-01-14 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| 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.