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Individual

ALEXIS SHELBY MULLIKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5860
(419) 479-3971
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
(419) 479-5593

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704330336
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028565
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0439650
OH
Enumeration date
02/09/2021
Last updated
01/09/2025
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