JENNIFER L BOYD-MULLINEAUX PA-C NPI 1881703940

NPI Information

NPI: 1881703940
Provider Name: JENNIFER L BOYD-MULLINEAUX, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
211 STATE ST
BRIDGEPORT, CT
ZIP 06604
Phone: (203) 366-0664
Get Directions

Jennifer L Boyd-mullineaux, PA-C is a medical physician assistant in Bridgeport, CT. Jennifer L Boyd-mullineaux, PA-C NPI is 1881703940. 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:

211 STATE ST
BRIDGEPORT, CT
ZIP 06604-808
Phone: (203) 366-0664
Fax: (203) 394-6784

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/10/2014.

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
1	363A00000X	Physician Assistant		001304	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical		CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q00531	MEDICARE UPIN	CONNECTICUT
2	97001425	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »