Jolynn Sue Mulder-Carroll, MSN, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704114059 Issued in MI

Practice address

910 E Lincoln Ave
Ionia, MI 48846-1393

Phone

(616) 527-2370

Fax

(616) 527-3824

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Jolynn Sue Mulder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Life Medical PLLC

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1629737838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1124132402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E LINCOLN AVE",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461393",
            "telephone_number": "616-527-2370",
            "fax_number": "616-527-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER-CARROLL",
        "first_name": "JOLYNN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704114059",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704114059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYNN",
            "last_name": "MULDER",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mitten Chiropractic, LLC
• Kayla Mobley
• Alifa Ashley Mohamed, MD
• Elizabeth Morgan, LMSW
• Jennifer Rebecca Morgan, LLMSW
• Kerry Muller, LMSW
• Muscott & Muscott Dental Health Center, PLC
• Christine Helen Muscott, D.D.S.
• Douglas Ernest Muscott, D.D.S.
• Myeyedr Optometry of Michigan, LLC

• Psychiatric/Mental Health Nurse Practitioner in Ionia, MI
• Providers in Ionia, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.