Mallory Nicole Mullins, | |
3175 Beaumont Centre Cir, Lexington, KY 40513-1957 | |
(859) 576-0058 | |
Not Available |
Full Name | Mallory Nicole Mullins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3175 Beaumont Centre Cir, Lexington, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992209324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 3012151 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3012151 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mallory Nicole Mullins, 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 Ph: () - | Mallory Nicole Mullins, 3175 Beaumont Centre Cir, Lexington, KY 40513-1957 Ph: (859) 576-0058 |
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