Individual
STEPHANIE M MULLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 928-1145
(423) 928-1353
Mailing address
PO BOX 2503, JOHNSON CITY, TN 37605-2503
(423) 928-1145
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
121585
TN
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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