JENNIFER L BOYD-MULLINEAUX (NPI# 1881703940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881703940 |
| Entity Type | Individual |
| Full Name | JENNIFER L BOYD-MULLINEAUX |
| Other Name | JENNIFER BOYD-MULLINEAUX |
| Credential | PA-C |
| Practice Address |
211 State St Bridgeport CT 06604-4808 |
| Mailing Address |
345 Whitney Ave New Haven CT 06511-2348 |
| Practice Telephone | 2033660664 |
| Practice Fax Number | 2033946784 |
| Mailing Telephone | 2037528785 |
| Mailing Fax Number | 2037523878 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001304 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 STATE ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407876543 | Laurie A Haydu | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2006-07-20 |
| 1922336965 | Alivia Aron | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2009-12-03 |
| 1265561443 | Planned Parenthood of Ct, Inc | Clinic/Center | 211 State St, Bridgeport, CT 06604-4808 | 2007-03-05 |
| 1669572277 | Linda E Magee | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1780178285 | Christina P. Filippakis | Physician Assistant | 401 Myrtle Ave, Bridgeport, CT 06604-5444 | 2018-06-18 |
| 1720134372 | Tommy Savedra | Physician Assistant | 221 Twin Lakes Rd, Bridgeport, CA 93517 | 2007-01-26 |
| 1235284886 | Patricia Lynn Ross | Physician Assistant | 104 Orchard Ave, Bridgeport, WV 26330-1736 | 2007-01-24 |
| 1609890789 | Kaufmann Leslie Kaufmann | Physician Assistant | 1 Lee Ann Ln, Bridgeport, WV 26330-1080 | 2006-07-26 |
| 1407477334 | Emily Nicole Jimenez | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-05-01 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1336780709 | Christy Distasio | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-10-07 |
| 1639616063 | Alison Robb | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-01-24 |
| 1992155873 | Sabrina Butler | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-06-21 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on JENNIFER L BOYD-MULLINEAUX.
| 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.