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

Jake Kenji Mulvey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861363442

Jake Kenji Mulvey is a Student in an Organized Health Care Education/Training Program in Woburn, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

800 W Cummings Park Ste 3400
Woburn, MA 01801-6551
Phone: (781) 715-5729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MA)

Record details

NPI number1861363442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 2, 2025

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