Provider Demographics
NPI:1336175728
Name:MULLINS, JOANNA ACCURSO (RN, BSN, ATC PTA/L)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:ACCURSO
Last Name:MULLINS
Suffix:
Gender:F
Credentials:RN, BSN, ATC PTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5609 E LONGBOAT BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4221
Mailing Address - Country:US
Mailing Address - Phone:912-663-4478
Mailing Address - Fax:
Practice Address - Street 1:5 TAMPA GENERAL CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3601
Practice Address - Country:US
Practice Address - Phone:813-253-2068
Practice Address - Fax:813-558-6084
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9449259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse