| Kelly Mullins, FNP | |
|
215 S Hickory St Ste 114, Escondido, CA 92025-4360 | |
| (619) 634-1639 | |
| Not Available |
| Full Name | Kelly Mullins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 215 S Hickory St Ste 114, Escondido, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700230471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003407 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95003407 (California) | Primary |
| Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Mullins, FNP 215 S Hickory St Ste 114, Escondido, CA 92025-4360 Ph: (619) 634-1639 | Kelly Mullins, FNP 215 S Hickory St Ste 114, Escondido, CA 92025-4360 Ph: (619) 634-1639 |
Mrs. Sarah Van Leuven, APRN, FNP-BC, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 East Second Avenue, 225 East Second Avenue, Escondido, CA 92025 Phone: 760-291-6700 Fax: 760-737-7324 | |
Ruth Bravo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 460 N Elm St, Escondido, CA 92025 Phone: 760-737-2000 Fax: 760-737-2039 | |
Roger A Strong, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 W Crest St, Escondido, CA 92025 Phone: 760-737-2050 Fax: 760-796-3782 | |
Mrs. Kathy Anne Newell, RN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 W Valley Pkwy, Escondido, CA 92029 Phone: 760-737-9733 | |
Elisha Phelan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 460 N Elm St, Escondido, CA 92025 Phone: 760-520-8100 Fax: 360-462-2745 | |
Christopher Duong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E 2nd Ave, Escondido, CA 92025 Phone: 760-291-6700 | |
Emily Jo Ycasas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 488 E Valley Pkwy Ste 107, Escondido, CA 92025 Phone: 760-294-0480 |