Individual
MRS. CARLIE GREY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 E EMORY RD, POWELL, TN 37849-4016
(865) 938-3627
(865) 938-3647
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000382
—
TN
Enumeration date
07/13/2011
Last updated
08/23/2019
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