Individual
MRS. TRACEY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7000
(662) 459-1147
Mailing address
PO BOX 369, VAIDEN, MS 39176-0369
(662) 464-5470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R681857
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118843
—
MS
Enumeration date
03/23/2006
Last updated
07/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us