MS. KELLY VERONICA MULLEN N.P. NPI 1487018206

NPI Information

  • NPI: 1487018206
  • Provider Name: MS. KELLY VERONICA MULLEN, N.P.
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 121 PULASKI RD
    KINGS PARK, NY
    ZIP 11754
  • Phone: (631) 678-8470

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NPI Details

MS. Kelly Veronica Mullen, N.P. is a primary care nurse practitioner in Kings Park, NY. MS. Kelly Veronica Mullen, N.P. NPI is 1487018206. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 PULASKI RD
KINGS PARK, NY
ZIP 11754-539
Phone: (631) 678-8470

The enumeration date for this NPI number is 4/7/2016 and was last updated on 12/19/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthF306187NEW YORKNo
2363LP2300XNurse PractitionerPrimary Care306187NEW YORKYes

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: 3/30/2025

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