Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Mullan, FNP

Individual provider Nurse Practitioner · NPI 1023694197

Jacob Mullan, FNP is a Nurse Practitioner in Cumberland, Maryland. Qualified in 2020, 6 years ago. Practices with Potomac Valley Hospital of W VA , Inc, a 89-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone: (240) 964-8944
Fax: (240) 964-8942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12500 Willowbrook Rd, Cumberland, MD 21502-6393 — (240) 964-7000
  • 1 Science Park, Frostburg, MD 21532-2024 — (301) 729-2235
  • 1226 National Hwy, Lavale, MD 21502-7603 — (301) 729-2235

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R213462 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R213462 (MD)

Record details

NPI number1023694197
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 19, 2021
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing addressPo Box 1671, Cumberland, MD 21501-1671

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Potomac Valley Hospital Of W Va , Inc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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