Individual
GENEVIEVE R MULKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6440 DUTCHMANS PKWY, LOUISVILLE, KY 40205-3352
(502) 896-2606
(502) 896-0487
Mailing address
PO BOX 2469, LOUISVILLE, KY 40201-2469
(502) 852-8500
(502) 852-8556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3003620
KY
363LP0200X
Pediatric Nurse Practitioner
71005412A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937750
—
IN
05
—
7100060470
—
KY
Enumeration date
04/19/2006
Last updated
03/19/2024
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