Timothy H Mullinix, CRNP Valid NPI

Individual provider · Nurse Practitioner · Jackson, AL

NPI

1851391817

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

1-064044 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-29

Last updated

2011-03-31