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

Jennifer Lynn Mullally, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871814863

Jennifer Lynn Mullally, MD is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2010.

Licensed in
MN, ND
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12728 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 54202 (MN)

Record details

NPI number1871814863
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2010
Last updated in NPPESNovember 11, 2013

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