Individual provider · Type 1 NPI

Maggie Keshia Mullins, NP

Family Nurse Practitioner · Bristol, TN

NPI number 1336764406 Active

Practice location

1 Medical Park Blvd
Bristol, TN 37620-7430

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X234522 (TN)
Nurse Practitioner 363L00000X27770 (TN)
Family Nurse Practitioner Primary 363LF0000X27770 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1336764406

Maggie Keshia Mullins, NP's National Provider Identifier is 1336764406, issued on Jun 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bristol, TN. The record was last updated on Jul 23, 2021.