OWEN MULLEN (NPI# 1326199787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326199787 |
| Entity Type | Individual |
| Full Name | OWEN MULLEN |
| Credential | ST |
| Practice Address |
1635 Boling St Jackson MS 39213-4418 |
| Practice Telephone | 6013660123 |
| Practice Fax Number | 6013660649 |
| Mailing Telephone | 6013660123 |
| Mailing Fax Number | 6013660649 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | S2779 | MS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06081560 | 05 | |
| MS | 03921787 | 05 |
| Street Address |
1635 BOLING ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821188285 | Deborah G Monsour | Speech-Language Pathologist | 1635 Boling St, Jackson, MS 39213-4418 | 2006-10-13 |
| 1619599677 | Karen Jane Day | Registered Nurse | 1635 Boling St, Jackson, MS 39213-4418 | 2020-05-13 |
| 1174991855 | Willowood Developmental Center | Day Training, Developmentally Disabled Services | 1635 Boling St, Jackson, MS 39213-4418 | 2015-09-11 |
| 1942437595 | Whitney Herron Nesbit | Occupational Therapist | 1635 Boling St, Jackson, MS 39213-4418 | 2009-06-22 |
| 1225209489 | Kecia Spencer Ray | Specialist | 1635 Boling St, Jackson, MS 39213-4418 | 2008-03-17 |
| 1326219585 | Stephanie Pieroni Oliver | Speech-Language Pathologist | 1635 Boling St, Jackson, MS 39213-4418 | 2008-03-17 |
| 1831243070 | Willowood Developmental Center | Physical Therapist | 1635 Boling St, Jackson, MS 39213-4418 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040105 | Samantha Noelle Fanok | Specialist/Technologist | 123 Bennetts Mills Rd, Jackson, NJ 08527-4514 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750606380 | Donna Porter | Specialist/Technologist | 706 Goodyear Blvd, Picayune, MS 39466-3220 | 2010-04-07 |
| 1447301890 | Beyond Play Therapy Group, Pllc | Specialist/Technologist | 665 Highway 51 Ste C, Ridgeland, MS 39157-2136 | 2007-01-14 |
| 1881746683 | Adria Mclain | Specialist/Technologist | 665 Highway 51 Ste C, Ridgeland, MS 39157-2136 | 2007-01-18 |
| 1164573523 | Judy Lindsay | Specialist/Technologist | 665 Highway 51 Ste C, Ridgeland, MS 39157-2136 | 2007-01-14 |
Please comment or provide details below to improve the information on OWEN MULLEN.
| 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.