Individual provider · Type 1 NPI

Icie Hutcheson Mullis, APRN

Family Nurse Practitioner · Columbia, SC

NPI number 1114545647 Active

Practice location

1333 Taylor St
Columbia, SC 29201-2923

Fax (803) 296-5902

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Other practice locations

  • 900 Assembly St, Columbia, SC 29201-3938 · (866) 389-2727
  • 1235 Mullis Road, Blythewood, SC 29016 · (803) 331-6613
  • 1910 Gregg St, Columbia, SC 29201-2618 · (803) 779-5959

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X24046 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1114545647

Icie Hutcheson Mullis, APRN's National Provider Identifier is 1114545647, issued on Jul 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Feb 12, 2025.