Individual provider · Type 1 NPI

John William Mullens Iv, AGACNP

Acute Care Nurse Practitioner · Gainesville, GA

NPI number 1710684428 Active

Practice location

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN289159 (GA)
Gerontology Nurse Practitioner 363LG0600X2023000291 (GA)
Acute Care Nurse Practitioner Primary 363LA2100XRN289159 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1710684428

John William Mullens Iv, AGACNP's National Provider Identifier is 1710684428, issued on Feb 13, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gainesville, GA. The record was last updated on May 24, 2023.