Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN MULLALLY, MD
ActivePediatrics · FARGO, ND
Registration Details
- NPI Number
- 1871814863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2010 (15.914345192566 yrs)
- Last Updated
- Nov 11, 2013
- Licenses
-
54202 (MN)12728 (ND)
Practice Information
- Address
-
1702 UNIVERSITY DR SFARGO, ND, 581034940Browse ND providers · Browse ZIP 58103
- Phone
- 7013643300
- Fax
- 7013648906
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| NORBERT H YOE | MD | 1538132782 |
| STEPHANIE M. HANSON | M.D. | 1548227846 |
| KAMILLA L LUCHT | MD | 1326080656 |
| WILLIAM KENNETH HUTCHISON | MD | 1427092238 |
| THEODORE W KLEIMAN | MD | 1083640643 |
| JANET K TILLISCH | MD | 1417988163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.