Individual
MICHELLE E MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4215 15TH ST, GULFPORT, MS 39501-2523
(228) 863-5211
(228) 863-4101
Mailing address
4215 15TH ST, GULFPORT, MS 39501-2523
(228) 863-5211
(228) 863-4101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903795
MS
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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