STACEY E MULLIN (NPI# 1659831642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659831642 |
| Entity Type | Individual |
| Full Name | STACEY E MULLIN |
| Credential | NP-C |
| Practice Address |
2480 Rosewood N Mount Pleasant MI 48858-5003 |
| Practice Telephone | 9897753823 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704298822 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2480 ROSEWOOD N |
| City | MOUNT PLEASANT |
| State | MI |
| Zip Code | 48858-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1619517620 | Melisa Ann Bazuin | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2020-01-08 |
| 1386013142 | Carrie Garchow | Physician Assistant | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1982239786 | Haylee Amber Eliasson | Nurse Practitioner | 7003 Braun Rd, Mount Pleasant, WI 53403-9743 | 2020-03-12 |
| 1366077737 | Abby Wells Hunter | Nurse Practitioner | 1621 E Broomfield St Ste C, Mount Pleasant, MI 48858-5427 | 2020-03-06 |
| 1598304115 | Shannon Delite Leake | Nurse Practitioner | 727 County Road 1612, Mount Pleasant, TX 75455-7535 | 2019-12-30 |
| 1033762646 | Megan Ann Seibel | Nurse Practitioner | 6396 Route 819 S, Mount Pleasant, PA 15666-3670 | 2019-07-23 |
| 1902363963 | Rosalia Treto | Nurse Practitioner | 2015 Mulberry Ave Ste 310, Mount Pleasant, TX 75455-2316 | 2019-02-26 |
| 1508352451 | Tyler Moeller | Nurse Practitioner | 107 E Madison St Ste 101, Mount Pleasant, IA 52641-2071 | 2018-07-03 |
| 1790227296 | Jeanette Parker | Nurse Practitioner | 816 High Battery Cir, Mount Pleasant, SC 29464-7879 | 2016-11-15 |
| 1346611670 | Sarah M Slaasted | Nurse Practitioner | 5439 Durand Ave Ste 103, Mount Pleasant, WI 53406-5068 | 2015-10-13 |
| 1669711065 | Carolyn Hazel Larisey-atkinson | Nurse Practitioner | 1978 Sandy Point Ln, Mount Pleasant, SC 29466 | 2013-02-05 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 48858 |
Please comment or provide details below to improve the information on STACEY E MULLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.