JEANNE MILES MULLEN CNS NPI 1962512301

NPI Information

NPI: 1962512301
Provider Name: JEANNE MILES MULLEN, CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
216 VAUGHAN ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2221
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Jeanne Miles Mullen, CNS is a psychiatric/mental health clinical nurse specialist in Portland, ME. Jeanne Miles Mullen, CNS NPI is 1962512301. 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:

216 VAUGHAN ST
PORTLAND, ME
ZIP 04102-204
Phone: (207) 662-2221
Fax: (207) 662-7081

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/7/2009.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R022209	MAINE	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
1	NS8045	MEDICARE PIN	MAINE
2	NS804501	MEDICARE PIN	MAINE
3	P49564	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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