npidexNPI registry + Medicare data

JENNIFER MULLALLY, MD

Pediatrics Physician · FARGO, ND

Individual Active NPI 1871814863

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatrics Physician208000000X✓12728ND
Student in an Organized Health Care Education/Training Program390200000X—MN
Pediatrics Physician208000000X54202MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Pediatrics Physician providers in North Dakota

See all Pediatrics Physician providers in North Dakota →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.