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Individual

PAIGE R MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6584
(423) 379-8120
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22982
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q032238
TN
Enumeration date
12/23/2015
Last updated
01/23/2024
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