Mullen, Carlie Grey

Mullen, Carlie Grey is an individual health care provider with primary practice located at 201 E Emory Rd , Powell TN 37849-4016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mullen, Carlie Grey can be contacted via phone (865) 938-3627.

Contact Information

Primary practice address
201 E Emory Rd Powell TN 37849-4016
Phone: (865) 938-3627
Fax: (865) 938-3647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17591 Tennessee

Profile Details

NPI number 1952699837
LBN Legal business name Mullen, Carlie Grey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated Aug 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952699837 NPPES
Tennessee MEDICAID Q000382

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