| Jessica Mullins, DPM | |
|
331 Laidley St Ste 504, Charleston, WV 25301-1682 | |
| (304) 347-6630 | |
| Not Available |
| Full Name | Jessica Mullins |
|---|---|
| Gender | Female |
| Speciality | Podiatrist |
| Location | 331 Laidley St Ste 504, Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558980870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 10505 (West Virginia) | Primary |
| Provider Name | Ths Physician Partners Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mullins, DPM 331 Laidley St Ste 504, Charleston, WV 25301-1682 Ph: (304) 347-6630 | Jessica Mullins, DPM 331 Laidley St Ste 504, Charleston, WV 25301-1682 Ph: (304) 347-6630 |
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