Individual
RICHARD MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15190 COMMUNITY RD STE 260, GULFPORT, MS 39503-3471
(228) 575-8020
Mailing address
3704 BIENVILLE BLVD STE B, OCEAN SPRINGS, MS 39564-5710
(228) 872-4040
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
906506
MS
364SA2100X
Acute Care Clinical Nurse Specialist
906506
MS
Other
Enumeration date
02/07/2024
Last updated
09/03/2024
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