Provider Demographics
NPI:1457846040
Name:MULLINS, TELENA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:TELENA
Middle Name:
Last Name:MULLINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26108 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7502
Mailing Address - Country:US
Mailing Address - Phone:276-477-4600
Mailing Address - Fax:423-491-8109
Practice Address - Street 1:26108 LEE HWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7502
Practice Address - Country:US
Practice Address - Phone:276-477-4600
Practice Address - Fax:423-491-8109
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26836363L00000X
KY3012461363LF0000X
VA0024176188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner