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MR. JOHN HARRISON MULLINS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6561
Mailing address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6561

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170760
VA
363LF0000X
Family Nurse Practitioner
Primary
17576
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104168905
VA
Enumeration date
03/20/2013
Last updated
02/16/2017
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