| NPI | 1427511260 | 
|---|---|
| Professional Name | JOHNNY GLENN MULLINIKS | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA APRN-NP188123) | 
| Enumeration Date | 2019-04-09 | 
| Last Update Date | 2025-10-09 |