Provider Demographics
NPI:1972766152
Name:MUELLER, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 PENN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8609
Mailing Address - Country:US
Mailing Address - Phone:610-484-3761
Mailing Address - Fax:610-484-3549
Practice Address - Street 1:4906 PENN AVE STE 202
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-8609
Practice Address - Country:US
Practice Address - Phone:610-484-3761
Practice Address - Fax:610-484-3549
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT186379207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology