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Individual
MAGGIE KESHIA MULLINS
Active
Individual
MAGGIE KESHIA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
234522
TN
363L00000X
Nurse Practitioner
27770
TN
363LF0000X
Family Nurse Practitioner
Primary
27770
TN
Other
Enumeration date
06/14/2020
Last updated
07/23/2021
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