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JENNY FAYE MULLINS D.O. NPI 1457631780


NPI Profile

NPI: 1457631780
Provider Name: JENNY FAYE MULLINS, D.O.
Classification:Family Medicine - 207Q00000X
Entity Type: Individual
Organization: KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.

PECOS Registration: Yes

Address:
1484 LAKESIDE DRIVE
JHI BREATHITT COUNTY FAMILY HEALTH CENTER
JACKSON, KY
ZIP 41339
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Phone: (606) 666-9950

Jenny Faye Mullins, D.O. is a family medicine in Jackson, KY with 11 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jenny Faye Mullins, D.O. NPI is 1457631780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduation Year:2010

The provider's business location address is:

1484 LAKESIDE DRIVE
JHI BREATHITT COUNTY FAMILY HEALTH CENTER
JACKSON, KY
ZIP 41339-555
Phone: (606) 666-9950
Fax: (606) 666-9136

The NPI 1457631780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 3/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine03746KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100323170MEDICAIDKENTUCKY
2181848OTHERKENTUCKYFQHC LEE COUNTY
3181853OTHERKENTUCKYFQHC BREATHITT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.