Individual
MR. NATHANAEL LEWIS MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
205 TUNNELL HILL RD, ROGERSVILLE, TN 37857-7706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
272381
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
41695
TN
Other
Enumeration date
07/01/2025
Last updated
04/06/2026
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