Individual
MRS. KATELYN NICOLE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 934-3411
(205) 930-8378
Mailing address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 934-3441
(205) 930-8378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-164575
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-164575
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
AL
Enumeration date
04/18/2020
Last updated
03/12/2026
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