Provider Demographics
NPI:1437565017
Name:MULLENS, CHERI L (CRNP)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:L
Last Name:MULLENS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 1ST ST N STE 500
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8740
Mailing Address - Country:US
Mailing Address - Phone:205-663-5775
Mailing Address - Fax:205-664-2112
Practice Address - Street 1:1022 1ST ST N STE 500
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8740
Practice Address - Country:US
Practice Address - Phone:205-663-5775
Practice Address - Fax:205-664-2112
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-049838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily