Provider Demographics
NPI:1104081371
Name:MULLINS, JESSICA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LEE
Last Name:MULLINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2415 N ORANGE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5521
Mailing Address - Country:US
Mailing Address - Phone:407-303-2474
Mailing Address - Fax:407-303-0680
Practice Address - Street 1:2415 N ORANGE AVE STE 700
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5521
Practice Address - Country:US
Practice Address - Phone:407-303-2474
Practice Address - Fax:407-303-0680
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2025-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC149792207R00000X
TXQ2470207R00000X
SC81920207RC0200X, 207RP1001X
GA87821207RP1001X
FLME174238207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine