Jennifer McMullen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5634-12 Issued in WI

Practice address

4707 Washington Rd Ste 2
Kenosha, WI 53144-1597

Phone

(630) 800-8460

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1750964136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 NORFOLK CT",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531826602",
            "telephone_number": "630-800-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 WASHINGTON RD STE 2",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441597",
            "telephone_number": "630-800-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5634-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige A McGarry-Costello, PT, DPT
• Debra A McGrain, PROGRAM DIRECTOR
• Travis McGregor
• Mark T McGuire, DDS
• Erica Ann McKinney, D.C.
• Adria McNair, MA/SLP/CCC/L
• Ashley McSorley, D.O.
• Mea-Aea Kenosha SC
• James P Mecham, MS, OTRIL
• Diane M Medina, R.N.

• Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.