Individual
MRS. BRITTANY MULLOY
Active
Individual
MRS. BRITTANY MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19359
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6034606
BLUE CROSS/BLUE SHIELD
TN
05
—
Q010433
—
TN
Enumeration date
11/05/2014
Last updated
04/22/2015
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